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Tavanna Grant
Psychiatric/Mental Health Nurse Practitioner in Wichita Falls, Texas
NPI 1295467504

Tavanna Grant is a Psychiatric/Mental Health Nurse Practitioner based in Vernon, TX and is specialized in Psychiatric/Mental Health. Tavanna Grant practices in Wichita Falls, TX. The NPI Number for Tavanna Grant is 1295467504 and holds a License No. 1074646 (Texas).

The current practice location address for Tavanna Grant is 1505 8Th St, Wichita Falls, TX and can be reached out via phone at 940-219-9634.

Location: 1505 8Th St, Wichita Falls, TX, 76385-0924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295467504
Provider Name
Tavanna Grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
1505 8Th St, Wichita Falls, TX, 76385-0924
Phone Number
940-219-9634
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1505 8Th St
City
Wichita Falls
State
Texas
Zip
76301-3106
Phone Number
940-219-9634
Fax Number
person
Provider Business Mailing Address Details
Address
1505 8Th St
City
Wichita Falls
State
Texas
Zip
76301-3106
Phone Number
940-219-9634
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1074646 (Texas)
Definition
Definition to come...
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