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Ms. Jodi E Granger, AGNP
Gerontology Nurse Practitioner in Saint Louis, Missouri
NPI 1437785979

Jodi E Granger is a Gerontology Nurse Practitioner based in Saint Louis, MO and is specialized in Gerontology. Jodi E Granger practices in Saint Louis, MO and has the professional credentials of AGNP. The NPI Number for Jodi E Granger is 1437785979 and holds a License No. 2020004275 (Missouri).

The current practice location address for Jodi E Granger is 4921 Parkview Pl, Saint Louis, MO and can be reached out via phone at 314-747-7236 and via fax at 314-362-7769.

Location: 4921 Parkview Pl, Saint Louis, MO, 63110-1010
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Provider Profile Details
NPI Number
1437785979
Provider Name
Jodi E Granger
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
4921 Parkview Pl, Saint Louis, MO, 63110-1010
Phone Number
314-747-7236
Fax Number
314-362-7769
Provider Enumeration Date
03/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420105836 05 MO
institution
Provider Business Practice Location Address Details
Address
4921 Parkview Pl
City
State
Zip
63110-1032
Phone Number
314-747-7236
Fax Number
314-362-7769
person
Provider Business Mailing Address Details
Address
4921 Parkview Pl
City
State
Zip
63110-1032
Phone Number
314-747-7236
Fax Number
314-362-7769
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2020004275 (Missouri)
Definition
Definition to come...
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