JEANEFER GRANTHAM (NPI# 1376187385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376187385 |
| Entity Type | Individual |
| Full Name | JEANEFER GRANTHAM |
| Credential | FNP-C |
| Practice Address |
101 1st St Nw Ste 2 Pulaski VA 24301-5605 |
| Mailing Address |
679 Hayfield Rd Hillsville VA 24343-5214 |
| Practice Telephone | 5409800550 |
| Mailing Telephone | 2767305952 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024178404 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 1ST ST NW STE 2 |
| City | PULASKI |
| State | VA |
| Zip Code | 24301-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032178 | Stuart H Goldstein | Surgery | 101 1st St Nw Ste 2, Pulaski, VA 24301-5605 | 2005-09-08 |
| 1023647476 | Southwest Surgical Associates, Inc. | Surgery | 101 1st St Nw Ste 2, Pulaski, VA 24301-5605 | 2020-04-07 |
| 1083057012 | Amy L Doty | Nurse Practitioner | 101 1st St Nw Ste 2, Pulaski, VA 24301-5605 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672532 | Pulaski County Public Schools | Speech-Language Pathologist | 202 North Washington Avenue, Pulaski, VA 24301 | 2019-01-07 |
| 1912490269 | Pulaski County Public Schools | Speech-Language Pathologist | 202 N. Washington Avenue, Pulaski, VA 24301 | 2018-06-12 |
| 1376966689 | Charles Martin | Registered Nurse | 8400 Lee Highway, Pulaski, VA 24301 | 2014-01-23 |
| 1366738817 | Rolf Alfred Koehler | Internal Medicine | 2524 Saddle Ridge Circle, Pulaski, VA 24301 | 2011-06-23 |
| 1558654335 | Kimberly Rena White | Pharmacist | 901 Memorial Drive, Walgreens, Pulaski, VA 24301 | 2011-05-26 |
| 1366677791 | Ehikioya Osamudiamen Osemobor | Internal Medicine | 2460 Lee Highway, Pulaski, VA 24301 | 2009-05-29 |
| 1154452555 | Ellis Home Oxygen and Medical Equipment | Durable Medical Equipment & Medical Supplies | 2460 Lee Hwy, Suite 7, Pulaski, VA 24301 | 2007-03-08 |
| 1437233087 | George Frederick Brame II | Nurse Anesthetist, Certified Registered | 2400 Lee Highway, Pulaski Community Hospital, Pulaski, VA 24301 | 2006-10-24 |
| 1801981337 | Windy Saunders Hundley | Nurse Practitioner | 101 1st Street Nw, Pulaski, VA 24301 | 2006-10-03 |
| 1881700250 | Cynthia Martin Southern | Dentist | 62 E Main Street, Pulaski, VA 24301 | 2006-08-21 |
| Find all providers in zip 24301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1972882504 | Kelly Leann Kelley | Nurse Practitioner | 912 W College St, Pulaski, TN 38478-3630 | 2011-08-13 |
| 1982910758 | Kim E Goldinger | Nurse Practitioner | 625 W Madison St, Pulaski, TN 38478-2611 | 2010-08-31 |
| 1891009627 | Tiffany Ann Sasse | Nurse Practitioner | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2010-08-04 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1477686087 | Wanda G Moore | Nurse Practitioner | 1414 W College St, Pulaski, TN 38478-5202 | 2007-03-13 |
| 1275527376 | Celeste I Carnes | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-02 |
| 1134124902 | Lisa Ann Weaver | Nurse Practitioner | 104 Ivy Ln, Pulaski, TN 38478-4550 | 2005-06-16 |
| 1588262976 | Molly Katalin Gardner | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-10-16 |
| 1932724366 | Todd C Bryant | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-06-11 |
| Find all providers in PULASKI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.