Individual provider · Type 1 NPI

Haley Jaey Grant, CNP

Family Nurse Practitioner · Los Lunas, NM

NPI number 1962040832 Active

Practice location

1202 Main St NE
Los Lunas, NM 87031-7409

Mailing address

957 Benjamin Dr SE
Rio Rancho, NM 87124-1239

Other practice locations

  • 515 22nd Ave, Monroe, WI 53566-1569 · (608) 324-2000
  • 111 Hospital Dr, Tarboro, NC 27886-2011 · (252) 641-7700
  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 · (678) 312-1000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X18358 (WI)
Family Nurse Practitioner 363LF0000XGAA-NP005219 (GA)
Neurology Physician 2084N0400XGAA-NP005219 (GA)
Family Nurse Practitioner Primary 363LF0000X55095 (NM)
Neurology Physician 2084N0400X5024413 (NC)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

Other family nurse practitioner providers in Los Lunas

See all in Los Lunas →

About NPI 1962040832

Haley Jaey Grant, CNP's National Provider Identifier is 1962040832, issued on Dec 11, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Lunas, NM. The record was last updated on Sep 25, 2026.