FALLON CHANEL GRANGER NURSE PRACTITIONER NPI 1518630243

NPI Information

Fallon Chanel Granger, NURSE PRACTITIONER is a family nurse practitioner in Jacksonville, FL. Fallon Chanel Granger, NURSE PRACTITIONER NPI is 1518630243. 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:

655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-9000

The NPI 1518630243 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 7/28/2021 and was last updated on 12/15/2021.

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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