Active NPIIndividual provider

Jennifer R Grande, FNP-BC

Nurse Practitioner, Family in Hartford, Connecticut

NPI Number1124536537
Practice location
282 Washington St, Hartford, CT 06106-3322
Fax
—
Last updated
September 12, 2022

Jennifer Rose Grande is a Nurse Practitioner, Family based in Hartford, CT. Jennifer Rose Grande practices in Hartford, CT and has the professional credentials of FNP-BC. The NPI Number for Jennifer Rose Grande is 1124536537 and holds a License No. RN2299613 (MA). The current practice location address for Jennifer Rose Grande is 282 Washington St, Hartford, CT 06106-3322 and can be reached out via phone at 860-545-9000.

Provider Profile Details

NPI Number
1124536537
Provider Name
Jennifer Rose Grande
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
282 Washington St, Hartford, CT 06106-3322
Phone Number
860-545-9000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2018
Last Update Date
September 12, 2022
Certification Date
September 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
282 Washington St
Hartford, CT 06106-3322
Zip
06106-3322
Phone Number
860-545-9000
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
88 Springfield St
Wilbraham, MA 01095-2225
City
Wilbraham
State
MA
Zip
01095-2225
Phone Number
413-519-6640

License Information

License Number (1)
RN2299613
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
8539
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer R Grande, FNP-BC?

The NPI number of Jennifer R Grande, FNP-BC is 1124536537. It was assigned on January 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Jennifer R Grande, FNP-BC?

Jennifer R Grande, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2299613.

Where does Jennifer R Grande, FNP-BC practice?

The practice location is 282 Washington St, Hartford, CT 06106-3322. The office can be reached at 860-545-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124536537 directly on the NPPES registry website.

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