Individual
KIMBERLY JILL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
736 MURPHYS DR, ST JOHNS, FL 32259-9495
(904) 716-8658
Mailing address
736 MURPHYS DR, ST JOHNS, FL 32259-9495
(904) 716-8658
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020010462
FL
Other
Enumeration date
05/17/2020
Last updated
04/24/2026
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