TIFFANY GRANT NPI 1285961607

NPI Information

Tiffany Grant is a family nurse practitioner in Chicago, IL with 16 years of experience. Tiffany Grant NPI is 1285961607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10961 S KEDZIE AVE
CHICAGO, IL
ZIP 60655-219
Phone: (773) 239-9100

The NPI 1285961607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 11/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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