JENNIFER D GRADY APRN NPI 1548889215

NPI Information

NPI: 1548889215
Provider Name: JENNIFER D GRADY, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: WEST FLORIDA BEHAVIORAL HEALTH INC

PECOS Registration: Yes

Address:
1000 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-1111
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Jennifer D Grady, APRN is a psychiatric/mental health nurse practitioner in Fort Walton Beach, FL with 5 years of experience. Jennifer D Grady, APRN NPI is 1548889215. 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:

1000 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-708
Phone: (850) 862-1111

The NPI 1548889215 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 4/13/2020 and was last updated on 2/10/2022.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11006096	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11006096	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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