Grant, Jessica

Grant, Jessica is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Grant, Jessica can be contacted via phone (860) 533-3554.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4131
Phone: (860) 533-3554
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001543 Connecticut

Profile Details

NPI number 1376527085
LBN Legal business name Grant, Jessica
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 31st, 2012 - about 13 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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