Individual provider · Type 1 NPI
Shaylon Carlene Grant, FNP-BC
Family Nurse Practitioner · Decatur, IL
NPI number
1992094742
Active
Practice location
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Fax (217) 422-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN0000015750 (TN) |
| Nurse Practitioner | 363L00000X | 209010154 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992094742
Shaylon Carlene Grant, FNP-BC's National Provider Identifier is 1992094742, issued on Apr 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Decatur, IL. The record was last updated on Sep 29, 2026.