| Jalicia Grant, FNP-BC | |
|
15 Wayne Ave, East Orange, NJ 07018-1907 | |
| (914) 490-5941 | |
| Not Available |
| Full Name | Jalicia Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 15 Wayne Ave, East Orange, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790173953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR23060600 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ14886900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health Care, Inc | Livingston, NJ | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ennoble Hc Nj Pc | 0345638185 | 108 |
| Entity Name | Signify Health Medical Associates Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Jalicia Grant, FNP-BC 15 Wayne Ave, East Orange, NJ 07018-1907 Ph: (914) 490-5941 | Jalicia Grant, FNP-BC 15 Wayne Ave, East Orange, NJ 07018-1907 Ph: (914) 490-5941 |
Miss Hana Michele Baron, NP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Mrs. Carla Francis, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Miss Adaugo Oriji, PNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 132 Halsted St, East Orange, NJ 07018 Phone: 973-674-0036 | |
Devang Patel, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Pl, East Orange, NJ 07018 Phone: 973-395-1550 | |
Mrs. Rubene E Jean-baptiste, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Evergreen Pl Ste 400, East Orange, NJ 07018 Phone: 973-395-1550 | |
Sanjaykumar Shah, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Central Avenue, Suite 102, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Theresa Reed, DNP, APN, ENP,FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7135 |