JALICIA GRANT, FNP-BC
Nurse Practitioner - Family
Active
Individual
NPI: 1790173953
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 26NR23060600 (NJ) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 26NJ14886900 (NJ) |
Frequently Asked Questions
NPI 1790173953 is the National Provider Identifier for JALICIA GRANT, FNP-BC, a Nurse Practitioner - Family provider located in East Orange, NJ. This NPI was enumerated on December 22, 2014.
JALICIA GRANT, FNP-BC practices at 15 WAYNE AVE, East Orange, NJ 07018.
Quick Facts
- NPI
- 1790173953
- Type
- Individual
- Enumerated
- Dec 22, 2014
- Last Updated
- Sep 29, 2023
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