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Contact Information

JENNIFER GRANT, DNP, AGPCNP-BC
5855 MONROE ST
SYLVANIA, OH43560
 Phone: 734-240-8940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER GRANT · (Female)

NPI Number 1184161317
Status Active
Credentials DNP, AGPCNP-BC
Entity Individual
Enumeration date 01/26/2017
Last updated 03/12/2019 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704206869
  • MI Medicaid 1184161317
  • OH Medicaid 0218858
Hospital affiliation(s)
  • MERCY MEMORIAL HOSPITAL SYSTEM - (Acute Care)
    718 N MACOMB ST
    MONROE, MI 48162
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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