Grant, Jennifer L

Grant, Jennifer L is an individual health care provider with primary practice located at 1325 Pennsylvania Ave , Fort Worth TX 76104-2158. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Grant, Jennifer L can be contacted via phone (817) 761-7740.

Contact Information

Primary practice address
1325 Pennsylvania Ave Fort Worth TX 76104-2158
Phone: (817) 761-7740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Q9621 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X Q9621 Texas

Profile Details

NPI number 1780976167
LBN Legal business name Grant, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Oct 24th, 2023 - about 2 years ago

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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