Jennifer Granado, is a
Licensed Vocational Nurse based in Atlanta, Texas. Jennifer Granado is licensed to practice in Texas (license number 215790) and her current practice location is
804 Live Oak Dr, Atlanta, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 826-5966.
NPI number for Jennifer Granado is 1083195218 and her current mailing address is 804 Live Oak Dr, Atlanta, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083195218.
Provider's Profile
Full Name | Jennifer Granado |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 804 Live Oak Dr, Atlanta, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083195218
- Provider Enumeration Date: 08/26/2018
- Last Update Date: 08/26/2018
Medical Identifiers
Medical identifiers for Jennifer Granado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083195218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 215790 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Granado is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Granado, 804 Live Oak Dr, Atlanta, TX 75551-2817 Ph: () - | Jennifer Granado, 804 Live Oak Dr, Atlanta, TX 75551-2817 Ph: (903) 826-5966 |
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