| Mrs Jeanette M Grant, DNP, FNP-BC | |
|
20306 Badger Ln, Onancock, VA 23417-1224 | |
| (757) 414-0400 | |
| (757) 414-0569 |
| Full Name | Mrs Jeanette M Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 20306 Badger Ln, Onancock, Virginia |
| 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) | 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 20280 Market St, Onancock, VA 23417-1331 Ph: (757) 414-0400 | Mrs Jeanette M Grant, DNP, FNP-BC 20306 Badger Ln, Onancock, VA 23417-1224 Ph: (757) 414-0400 |
Debra Ann Myers, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20486 Market Street, Onancock, VA 23417 Phone: 757-302-2700 | |
Tiffany Jean Bloom, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20480 Market St, Onancock, VA 23417 Phone: 757-302-2700 | |
Heather Colleen Frisby, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20280 Market St, Onancock, VA 23417 Phone: 757-414-0400 | |
Elizabeth Mangieri-omps, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20280 Market St, Onancock, VA 23417 Phone: 757-787-7374 Fax: 757-787-4513 |