Individual
MS. JENNIFER ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4741 S ARROWHEAD DR SUITE 13, INDEPENDENCE, MO 64055
(816) 795-6000
(816) 795-6064
Mailing address
1609 SUNSET DR, KEARNEY, MO 64060
(816) 341-3132
(660) 493-2796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-117878-121
KS
363LF0000X
Family Nurse Practitioner
2001016497
MO
363LF0000X
Family Nurse Practitioner
Primary
2012008574
MO
363LF0000X
Family Nurse Practitioner
53-75607-121
KS
Other
Enumeration date
02/14/2012
Last updated
08/23/2022
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