Brandi Grant, FNP-C
Nurse Practitioner, Family in Statesville, NC. Individual provider (NPI-1).
NPI number1548071749
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1548071749
- Entity type
- Individual (NPI-1)
- Name
- Brandi Grant
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2025
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5021595 | NC | Yes |
Practice location
138 Sherlock DrStatesville, NC 28625-1916
Phone 704-873-1021
Mailing address
138 Sherlock DrStatesville, NC 28625-1916
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