Jalicia Grant, FNP-BC
Nurse Practitioner, Family in East Orange, New Jersey
1790173953- Practice location
- 15 Wayne Ave, East Orange, NJ 07018-1907
- Phone
- 914-490-5941
- Fax
- —
- Last updated
- September 29, 2023
Jalicia Grant is a Nurse Practitioner, Family based in East Orange, NJ. Jalicia Grant practices in East Orange, NJ and has the professional credentials of FNP-BC. The NPI Number for Jalicia Grant is 1790173953 and holds a License No. 26NR23060600 (NJ). The current practice location address for Jalicia Grant is 15 Wayne Ave, East Orange, NJ 07018-1907 and can be reached out via phone at 914-490-5941.
Provider Profile Details
- NPI Number
- 1790173953
- Provider Name
- Jalicia Grant
- Credential
- FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Wayne Ave, East Orange, NJ 07018-1907
- Phone Number
- 914-490-5941
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 22, 2014
- Last Update Date
- September 29, 2023
- Certification Date
- September 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Wayne Ave
East Orange, NJ 07018-1907 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1907
- Phone Number
- 914-490-5941
Provider Business Mailing Address Details
- Address
- 15 Wayne Ave
East Orange, NJ 07018-1907 - City
- East Orange
- State
- NJ
- Zip
- 07018-1907
- Phone Number
- 914-490-5941
License Information
- License Number (1)
- 26NR23060600
- License State (1)
- NJ
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 26NJ14886900
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near East Orange, NJ
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Frequently Asked Questions
What is the NPI number of Jalicia Grant, FNP-BC?
The NPI number of Jalicia Grant, FNP-BC is 1790173953. It was assigned on December 22, 2014 and is currently active in the NPPES registry.
What is the specialty of Jalicia Grant, FNP-BC?
Jalicia Grant, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR23060600.
Where does Jalicia Grant, FNP-BC practice?
The practice location is 15 Wayne Ave, East Orange, NJ 07018-1907. The office can be reached at 914-490-5941 (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 1790173953 directly on the NPPES registry website.