Jessica Grant, LPN
Licensed Practical Nurse in Johnstown, PA. Individual provider (NPI-1).
NPI number1740909159
StatusActive
Last updated in NPPESAug 26, 2022
Details
- NPI
- 1740909159
- Entity type
- Individual (NPI-1)
- Name
- Jessica Grant
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2022
- Certification date
- Aug 26, 2022
- Last updated
- Aug 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN316108 | PA | Yes |
Practice location
312 Olive StJohnstown, PA 15905-2700
Phone 814-254-8709
Mailing address
312 Olive StJohnstown, PA 15905-2700
Phone 814-254-8709
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