Individual provider · Type 1 NPI
Tiffany Grant
Family Nurse Practitioner · Chicago, IL
NPI number
1285961607
Active
Practice location
10961 S Kedzie Ave
Chicago, IL 60655-2219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209007728 (IL) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1285961607
Tiffany Grant's National Provider Identifier is 1285961607, issued on Nov 5, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Nov 5, 2009.