Mallory Jene Grani, APRN, CNP, PMHNP-C - Nurse Practitioner in Chisholm, MN

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Mallory Jene Grani, APRN, CNP, PMHNP-C is a Nurse Practitioner - Psychiatric/mental Health based in Chisholm, Minnesota. Mallory Jene Grani is licensed to practice in North Dakota (license number 200991) and her current practice location is 12 W Lake St, Chisholm, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 254-0101.

NPI number for Mallory Jene Grani is 1376422139 and her current mailing address is 12 W Lake St, Chisholm, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376422139.

Contact Information

Mallory Jene Grani, APRN, CNP, PMHNP-C
12 W Lake St,
Chisholm, MN 55719-1817
(218) 254-0101
Not Available

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Provider's Profile

Full NameMallory Jene Grani
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12 W Lake St, Chisholm, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376422139
  • Provider Enumeration Date: 08/27/2025
  • Last Update Date: 08/27/2025

Medical Identifiers

Medical identifiers for Mallory Jene Grani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376422139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 200991 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Jene Grani is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallory Jene Grani, APRN, CNP, PMHNP-C
12 W Lake St,
Chisholm, MN 55719-1817

Ph: (218) 254-0101		Mallory Jene Grani, APRN, CNP, PMHNP-C
12 W Lake St,
Chisholm, MN 55719-1817

Ph: (218) 254-0101

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