Individual provider · Type 1 NPI

Telisa Grant, APRN

Nurse Practitioner · Jacksonville, FL

NPI number 1720494941 Active

Practice location

10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9215166 (FL)
Nurse Practitioner Primary 363L00000XAPRN9215166 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720494941

Telisa Grant, APRN's National Provider Identifier is 1720494941, issued on Jul 8, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 4, 2026.