Dr. Jheneale R Grandison
Nurse Practitioner - Primary Care
9512 Harford Rd Ste 4
Parkville
, Maryland 21234-3127
Dr. Jheneale R Grandison
Nurse Practitioner - Primary Care
9512 Harford Rd Ste 4
Parkville
, Maryland 21234-3127
(410) 665-4400
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Dr. Jheneale R Grandison
- 9512 Harford Rd
- Parkville, MD
- Zip : 21234-3100
- Phone : (410) 665-4400
Second Address
- Dr. Jheneale R Grandison
- 9512 Harford Rd Ste 4
- Parkville, MD
- Zip : 21234-3127
- Phone : (410) 665-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | R204976 | MD |
National Provider Identifier
| NPI | 1053986596 |
|---|---|
| Provider Name | Dr. Jheneale R Grandison |
| First Address | Parkville, MD 21234-3100 |
| Second Address | Parkville, MD 21234-3127 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2021 |
| Last Update Date | 01/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.