Blount, Juliette Grant

Blount, Juliette Grant is an sole proprietor health care provider with primary practice located at 89-56 162Nd Street , Jamaica NY 11432. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Blount, Juliette Grant can be contacted via phone (347) 505-7000.

Contact Information

Primary practice address
89-56 162Nd Street Jamaica NY 11432
Phone: (347) 505-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 424450 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303578 New York

Profile Details

NPI number 1578683587
LBN Legal business name Blount, Juliette Grant
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2007
Last updated Oct 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578683587 NPPES
New York MEDICAID 02396174

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