Individual
JENNIFER LYNN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
836 JACKSON ST., COLUMBUS, IN 47201
(812) 376-9750
Mailing address
836 JACKSON ST., COLUMBUS, IN 47201
(812) 376-9750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28093141A
IN
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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