Grant, Jeanette M
Grant, Jeanette M is an individual health care provider with primary practice located at 21444 Carmean Way , Georgetown DE 19947-4572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grant, Jeanette M can be contacted via phone (302) 855-1233.Contact Information
Primary practice address
21444 Carmean Way
Georgetown DE 19947-4572
Phone: (302) 855-1233
Fax: (302) 855-2025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024169918 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | LG-0012313 | Delaware |
Profile Details
| NPI number | 1154694065 |
|---|---|
| LBN Legal business name | Grant, Jeanette M |
| Credentials | DNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2012 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154694065 | NPPES |
| Virginia | MEDICAID | 1154694065 |
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