| Mrs Jeanette M Grant, DNP, FNP-BC | |
|
21444 Carmean Way, Georgetown, DE 19947-4572 | |
| (302) 855-1233 | |
| (302) 855-2025 |
| Full Name | Mrs Jeanette M Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 21444 Carmean Way, Georgetown, Delaware |
| 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 |
|---|---|---|---|
| 1154694065 | NPI | - | NPPES |
| 1154694065 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024169918 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | LG-0012313 (Delaware) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Shore Rural Health System Incorporated | 2668380106 | 36 |
| La Red Health Center Inc | 4789668815 | 22 |
| Entity Name | Tidalhealth Physician Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090 |
| Entity Name | La Red Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700832185 PECOS PAC ID: 4789668815 Enrollment ID: O20070306000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jeanette M Grant, DNP, FNP-BC 100 Rawlins Dr, Seaford, DE 19973-5881 Ph: (302) 990-3300 | Mrs Jeanette M Grant, DNP, FNP-BC 21444 Carmean Way, Georgetown, DE 19947-4572 Ph: (302) 855-1233 |
Cierra Parker, MSN, APRN-PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18229 Dupont Blvd, Georgetown, DE 19947 Phone: 302-236-0653 | |
Ms. Mimi Joye Hilderley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 | |
Tracy L Dysard, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 | |
Ms. Amber L Sharp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Lee Ave Unit 103, Georgetown, DE 19947 Phone: 302-856-4092 | |
Jessica W Baxter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 W Market St, Georgetown, DE 19947 Phone: 302-856-7099 | |
Melissa Galloway, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd, Georgetown, DE 19947 Phone: 302-856-3737 Fax: 302-856-7337 |