Grant, Jalicia

Grant, Jalicia is an individual health care provider with primary practice located at 15 Wayne Ave , East Orange NJ 07018-1907. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grant, Jalicia can be contacted via phone (914) 490-5941.

Contact Information

Primary practice address
15 Wayne Ave East Orange NJ 07018-1907
Phone: (914) 490-5941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NR23060600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ14886900 New Jersey

Profile Details

NPI number 1790173953
LBN Legal business name Grant, Jalicia
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2014
Last updated Sep 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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