Individual provider · Type 1 NPI

Grant Jonathan Ewing

Student in an Organized Health Care Education/Training Program · Lake Charles, LA

NPI number 1023978392 Active

Practice location

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Call (337) 491-7709 Map

Mailing address

4418 Oaklawn St
Lake Charles, LA 70605-4416

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X245400 (LA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023978392

Grant Jonathan Ewing's National Provider Identifier is 1023978392, issued on Nov 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 20, 2026.