Individual
KAYLA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 CHARING ST, JACKSONVILLE, FL 32216-6110
(904) 674-0022
Mailing address
6600 CHARING ST, JACKSONVILLE, FL 32216-6110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9557106
FL
367A00000X
Advanced Practice Midwife
Primary
11038007
FL
Other
Enumeration date
02/18/2025
Last updated
03/05/2025
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