Eboni K Grant, NP
Nurse Practitioner, Women's Health in Newark, NJ. Individual provider (NPI-1).
NPI number1801596358
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1801596358
- Entity type
- Individual (NPI-1)
- Name
- Ms. Eboni K Grant
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2023
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 26NJ15117700 | NJ | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 421600 | NY |
Practice location
240 Mulberry StNewark, NJ 07102-3528
Phone 973-622-3900
Mailing address
240 Mulberry StNewark, NJ 07102-3528
Phone 973-622-3900
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