MRS. SHAYLON CARLENE GRANT FNP-BC NPI 1992094742

NPI Information

NPI: 1992094742
Provider Name: MRS. SHAYLON CARLENE GRANT, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1800 E LAKE SHORE DR
DECATUR, IL
ZIP 62521
Phone: (217) 422-6100
Get Directions

MRS. Shaylon Carlene Grant, FNP-BC is a family nurse practitioner in Decatur, IL. MRS. Shaylon Carlene Grant, FNP-BC NPI is 1992094742. 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:

1800 E LAKE SHORE DR
DECATUR, IL
ZIP 62521-810
Phone: (217) 422-6100
Fax: (217) 422-3217

The NPI 1992094742 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 4/1/2011 and was last updated on 4/18/2017.

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	363L00000X	Nurse Practitioner		209010154	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	APN0000015750	TENNESSEE	Yes

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
1	P01273952	OTHER	ILLINOIS	RAILROAD
2	517330031	MEDICARE PIN	ILLINOIS
3	$$$$$$$$$001	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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