Jenna Beth Grady, MSN, APRN, AGCNS
Clinical Nurse Specialist, Gerontology in Greenville, NC. Individual provider (NPI-1).
NPI number1962394650
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1962394650
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jenna Beth Grady
- Credential
- MSN, APRN, AGCNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2025
- Certification date
- Jul 17, 2025
- Last updated
- Jul 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SG0600X | Clinical Nurse Specialist, Gerontology | 332718 | NC | Yes |
| 364SX0200X | Clinical Nurse Specialist, Oncology | 332718 | NC |
Practice location
2100 Stantonsburg RdGreenville, NC 27834-2818
Phone 252-816-2615
Mailing address
541 Guy Smith RdLa Grange, NC 28551-8509
Phone 252-560-6315
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Other Gerontology Clinical Nurse Specialist providers in Greenville, NC
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