Grant, Shaylon Carlene

Grant, Shaylon Carlene is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3810. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grant, Shaylon Carlene can be contacted via phone (217) 422-6100.

Contact Information

Primary practice address
1800 E Lake Shore Dr Decatur IL 62521-3810
Phone: (217) 422-6100
Fax: (217) 422-3217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000015750 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209010154 Illinois

Profile Details

NPI number 1992094742
LBN Legal business name Grant, Shaylon Carlene
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2011
Last updated Apr 18th, 2017 - about 7 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 1992094742 NPPES
Illinois Other P01273952 RAILROAD

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