CARRIE A GRANT

CHAMPAIGN, IL
NPI1235960188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209030580)
Enumeration Date2024-08-12
Last Update Date2024-09-19
Business Address
Mrs. CARRIE A GRANT PMHNP
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 224-704-2223
Mailing Address
Mrs. CARRIE A GRANT PMHNP
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 224-704-2223