Jacquelyn Eila Grandt in Los Angeles - Nurse Practitioner
Jacquelyn Eila Grandt - NPI 1528281979
Jacquelyn Eila Grandt is a Nurse Practitioner in Los Angeles, California. Jacquelyn Eila Grandt practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jacquelyn Eila Grandt is 1528281979. The last update date is 2009-03-17.
Jacquelyn Eila Grandt's current location address is 1441 Eastlake Ave # 3440, Los Angeles, California. You can contact this provider via phone number 3238653900 and fax number 3238650061. The mailing address for Jacquelyn Eila Grandt is 1441 Eastlake Ave # 3440, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Eila Grandt |
|---|---|
| Address | 1441 Eastlake Ave # 3440, Los Angeles, California |
| Phone Number | 3238653900 |
| Fax Number | 3238650061 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1528281979 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2009-03-17 |
Provider Mailing Address Detail
| Address | 1441 Eastlake Ave # 3440 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900890112 |
| Phone Number | 3238653900 |
| Fax Number | 3238650061 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 246177 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Jacquelyn Eila Grandt's 1528281979?
The Jacquelyn Eila Grandt's NPI (National Provider Identifier) Number is 1528281979. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacquelyn Eila Grandt is physically located?
The Jacquelyn Eila Grandt is situated at the following address: 1441 Eastlake Ave # 3440, Los Angeles, CA 900890112.
What is the Jacquelyn Eila Grandt's area of specialization and corresponding taxonomy classification?
The Jacquelyn Eila Grandt's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When did the Jacquelyn Eila Grandt receive its 1528281979?
The Jacquelyn Eila Grandt was issued its 1528281979 on 2007-04-11, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jacquelyn Eila Grandt most recently updated or revised?
The details related to Jacquelyn Eila Grandt, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-17.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA