Jesse Machaela Grady, FNP-C
Nurse Practitioner, Family in Greenville, SC. Individual provider (NPI-1).
NPI number1801414909
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1801414909
- Entity type
- Individual (NPI-1)
- Name
- Jesse Machaela Grady
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2020
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 25225 | SC | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 25225 | SC |
Other names
- Jesse Hayes (Former Name)
Practice location
525 Verdae Blvd Ste 200Greenville, SC 29607-4021
Phone 864-272-0388
Mailing address
525 Verdae Blvd Ste 200Greenville, SC 29607-4021
Phone 864-272-0388
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