Individual provider · Type 1 NPI
Khairunissia Meichelle Grant
Family Nurse Practitioner · Detroit, MI
NPI number
1801756044
Active
Practice location
3031 W Grand Blvd
Detroit, MI 48202-3046
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Other practice locations
- 25735 Curie Ave, Warren, MI 48091-3829 · (313) 753-9111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704267384 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704267384 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801756044
Khairunissia Meichelle Grant's National Provider Identifier is 1801756044, issued on Nov 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on Jun 22, 2026.