person
Mr. Blake Alan Grant, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Austin, Texas
NPI 1003522293

Blake Alan Grant is a Psychiatric/Mental Health Nurse Practitioner based in Austin, TX and is specialized in Psychiatric/Mental Health. Blake Alan Grant practices in Austin, TX and has the professional credentials of PMHNP-BC. The NPI Number for Blake Alan Grant is 1003522293 and holds a License No. 1109094 (Texas).

The current practice location address for Blake Alan Grant is 4005 Banister Ln Ste 200C, Austin, TX and can be reached out via phone at 512-328-7222.

Location: 4005 Banister Ln Ste 200C, Austin, TX, 78704-8077
person
Provider Profile Details
NPI Number
1003522293
Provider Name
Blake Alan Grant
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4005 Banister Ln Ste 200C, Austin, TX, 78704-8077
Phone Number
512-328-7222
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4005 Banister Ln Ste 200C
City
State
Zip
78704-8077
Phone Number
512-328-7222
Fax Number
person
Provider Business Mailing Address Details
Address
4005 Banister Ln Ste 200C
City
State
Zip
78704-8077
Phone Number
512-328-7222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
1109094 (Texas)
Definition
Definition to come...
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