Individual provider · Type 1 NPI

Earl Suzette Grant, LPN

Licensed Practical Nurse · Richmond, VA

NPI number 1992688048 Active

Practice location

4926 W Broad St
Richmond, VA 23230-3122

Fax (804) 977-6244

Mailing address

75OO Secretariat Drive
Midlothian, VA 23112-2311

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002088309 (VA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1992688048

Earl Suzette Grant, LPN's National Provider Identifier is 1992688048, issued on Jul 28, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Richmond, VA. The record was last updated on Jul 28, 2025.