Individual provider · Type 1 NPI
Jalicia Grant, FNP-BC
Family Nurse Practitioner · East Orange, NJ
NPI number
1790173953
Active
Practice location
15 Wayne Ave
East Orange, NJ 07018-1907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NR23060600 (NJ) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ14886900 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1790173953
Jalicia Grant, FNP-BC's National Provider Identifier is 1790173953, issued on Dec 22, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Orange, NJ. The record was last updated on Sep 29, 2023.