Individual provider · Type 1 NPI

Shandera S. Granger, FNP

Family Nurse Practitioner · Springfield, IL

NPI number 1881405041 Active

Practice location

751 N Rutledge St
Springfield, IL 62702-4968

Mailing address

201 E Madison St Ste 328
Springfield, IL 62702-5131

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X209.031682 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1881405041

Shandera S. Granger, FNP's National Provider Identifier is 1881405041, issued on Jan 16, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Mar 7, 2025.