Grant, Priscella

Grant, Priscella is an sole proprietor health care provider with primary practice located at 320 Lanier Ave W Ste 200 , Fayetteville GA 30214-7443. She recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Pediatrics, Agencies / Nursing Care, Nursing Service Related Providers / Home Health Aide, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Grant, Priscella can be contacted via phone (770) 250-7477.

Contact Information

Primary practice address
320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443
Phone: (770) 250-7477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X PHCP010616 Georgia
Nursing Service Providers / Licensed Practical Nurse 164W00000X PHCP010616 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PHCP010616 Georgia
Agencies / Nursing Care 251J00000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1134840986
LBN Legal business name Grant, Priscella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2022
Last updated Sep 9th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134840986 NPPES
Georgia MEDICAID 003227891A

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