DR. JENNIFER LYN GRANT (NPI# 1710475389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710475389 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYN GRANT |
| Credential | MD, PHD |
| Practice Address |
12 Executive Park Dr Ne Ste 331 Atlanta GA 30329-2206 |
| Mailing Address |
218 3rd Ave Avondale Estates GA 30002-1101 |
| Practice Telephone | 4047275157 |
| Practice Fax Number | 4047274746 |
| Mailing Telephone | 8184648270 |
| Mailing Fax Number | 8182961154 |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2018-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068573 | Jennifer Ann Grant | Behavior Technician | 6 Cour Leroux, Palos Hills, IL 60465-2407 | 2019-11-20 |
| 1245679463 | Jennifer Grant | Massage Therapist | 6441 Sw Canyon Ct Ste 102, Portland, OR 97221-1437 | 2013-06-20 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1073529962 | Jennifer Erin Grant | Dentist | 1601 Lake Success Dr, Waco, TX 76710-2908 | 2006-07-31 |
| 1033727557 | Jennifer Grant | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-07-21 |
| 1548887292 | Jennifer Tegan Grant | Student in an Organized Health Care Education/Training Program | 123 22nd St, Toledo, OH 43604-2706 | 2020-06-29 |
| 1912568528 | Jennifer Grant | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2019-06-25 |
| 1184161317 | Jennifer Grant | Nurse Practitioner | 5855 Monroe St, Sylvania, OH 43560 | 2017-01-26 |
| 1578967253 | Jennifer Marie Lewis Grant | Counselor | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2014-10-09 |
| 1508298399 | Jennifer K Grant | Social Worker | 8550 Huebner Rd, San Antonio, TX 78240-1803 | 2013-08-02 |
| Street Address |
12 EXECUTIVE PARK DR NE STE 331 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962899500 | Amitha Dhingra | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2015-04-21 |
| 1720617608 | Tyler Scott Vanderhoof | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2020-04-03 |
| 1437612066 | Paul Kim | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2019-04-10 |
| 1720540016 | Jonathan Chance Ortego | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2019-04-04 |
| 1700364403 | Aniket Malhotra | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-08-03 |
| 1073001871 | Andrew Joseph Ebner | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-04-26 |
| 1720584881 | Erica Weber Rymarczyk | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-04-05 |
| 1477059160 | Cody Alan Overmyer | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-04-02 |
| 1902302821 | Karen Elaine Giles | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-03-30 |
| 1356875223 | Bridget Kathleen Mcnulty | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
| 1013532597 | Ivy Elizabeth Cook | Student in an Organized Health Care Education/Training Program | 3121 Flowers Rd S Apt I, Atlanta, GA 30341-5648 | 2020-06-10 |
| 1265055495 | Jeffrey Quinn Taylor II | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne # 2300b, Atlanta, GA 30322-1013 | 2020-05-21 |
| 1073134391 | Robert Shvarts | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr Se Unit 346, Atlanta, GA 30312-2229 | 2020-04-27 |
| 1477173920 | Ryan William Flanagan | Student in an Organized Health Care Education/Training Program | 2591 Piedmont Rd Ne Apt 1531, Atlanta, GA 30324-6280 | 2020-04-24 |
| 1467071589 | Charles Thomas Reeder | Student in an Organized Health Care Education/Training Program | 1744 Logans Knl Ne, Atlanta, GA 30329-4100 | 2020-04-09 |
| 1548899743 | Chandni Patel | Student in an Organized Health Care Education/Training Program | 700 14th St Nw, Atlanta, GA 30318-5408 | 2020-04-08 |
| 1962031625 | Rachel Reed | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne Ste H-100, Atlanta, GA 30322-1059 | 2020-04-05 |
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1467080218 | Aminah Danielle Phelps | Student in an Organized Health Care Education/Training Program | 395 Saint Jacques Ct Sw, Atlanta, GA 30331-8434 | 2020-03-28 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on DR. JENNIFER LYN GRANT.
| 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.