Individual provider · Type 1 NPI

Utrena Donsha Grant

Family Nurse Practitioner · Waycross, GA

NPI number 1548760622 Active

Practice location

1707 Saint Marys Dr
Waycross, GA 31501-5207

Call (912) 282-1340 Map

Other practice locations

  • 1707 Saint Marys Dr, Waycross, GA 31501-5207 · (912) 282-1340

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X178607 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1548760622

Utrena Donsha Grant's National Provider Identifier is 1548760622, issued on Feb 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waycross, GA. The record was last updated on Mar 17, 2018.