| Mrs Gianna M Grant, APN | |
|
104 E Grove St, El Dorado, AR 71730-4607 | |
| (870) 862-2285 | |
| (870) 862-2289 |
| Full Name | Mrs Gianna M Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 104 E Grove St, El Dorado, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427026939 | NPI | - | NPPES |
| 158023758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R56286 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A01853 (Arkansas) | Primary |
| Entity Name | Jerry H Grant, M.d., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366745705 PECOS PAC ID: 2769671387 Enrollment ID: O20110113000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gianna M Grant, APN 104 E Grove St, El Dorado, AR 71730-4607 Ph: (870) 862-2285 | Mrs Gianna M Grant, APN 104 E Grove St, El Dorado, AR 71730-4607 Ph: (870) 862-2285 |
Tara S Herring, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 W Grove St Ste 202, El Dorado, AR 71730 Phone: 870-639-9939 Fax: 870-639-9914 | |
Rebecca Jan Porter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 | |
Chelsea Jo Bounds, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Faulkner St, El Dorado, AR 71730 Phone: 870-639-3910 | |
Jessica H Mack, DNP, APRN, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 W Grove St, El Dorado, AR 71730 Phone: 870-875-1481 | |
Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 W Hillsboro St, El Dorado, AR 71730 Phone: 870-639-9322 Fax: 501-235-3743 | |
Anita Burleson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N College Ave, El Dorado, AR 71730 Phone: 870-881-8008 | |
Marcia P Ford, APN CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 Fax: 870-862-1891 |