Individual provider · Type 1 NPI

Jessica Grant, PA

Medical Physician Assistant · Avon, CT

NPI number 1376527085 Active

Practice location

385 W Main St
Avon, CT 06001-4357

Call (860) 777-1280 Map

Mailing address

71 Haynes St
Manchester, CT 06040-4131

Other practice locations

  • 71 Haynes St, Manchester, CT 06040-4131 · (860) 533-3554

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X001543 (CT)
Medical Physician Assistant Primary 363AM0700X001543 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1376527085

Jessica Grant, PA's National Provider Identifier is 1376527085, issued on Dec 6, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Avon, CT. The record was last updated on Nov 21, 2024.