Provider Demographics
NPI:1720211162
Name:GRANT, MICHELLE FRANCINE (APN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:FRANCINE
Last Name:GRANT
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CHILDRENS WAY
Mailing Address - Street 2:ROOM 3209
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-9625
Mailing Address - Country:US
Mailing Address - Phone:615-936-1458
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY
Practice Address - Street 2:ROOM 3209
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9625
Practice Address - Country:US
Practice Address - Phone:615-936-1458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily