Individual provider · Type 1 NPI

Shannon Grant

Psychiatric/Mental Health Nurse Practitioner · Portsmouth, VA

NPI number 1902783103 Active

Practice location

355 Crawford St Ste 102
Portsmouth, VA 23704-2817

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024194269 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1902783103

Shannon Grant's National Provider Identifier is 1902783103, issued on Aug 19, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portsmouth, VA. The record was last updated on Nov 10, 2025.