MS. MARY ELIZABETH GRANT A.R.N.P. NPI 1114139581

NPI Information

  • NPI: 1114139581
  • Provider Name: MS. MARY ELIZABETH GRANT, A.R.N.P.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1120 63RD ST S
    GULFPORT, FL
    ZIP 33707
  • Phone: (727) 347-2914

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NPI Details

MS. Mary Elizabeth Grant, A.R.N.P. is a psychiatric/mental health nurse practitioner in Gulfport, FL. MS. Mary Elizabeth Grant, A.R.N.P. NPI is 1114139581. 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:

1120 63RD ST S
GULFPORT, FL
ZIP 33707-125
Phone: (727) 347-2914
Fax: (727) 895-7225

The NPI 1114139581 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2007 and was last updated on 4/2/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthARNP 1572502FLORIDANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP 1572502FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health019367OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1764196600MEDICAIDFLORIDA
2300887800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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