Granger Macon, Alisa

Granger Macon, Alisa is an sole proprietor health care provider with primary practice located at 3603 6Th Ave S , St Petersburg FL 33711-1715. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Granger Macon, Alisa can be contacted via phone (727) 454-9443.

Contact Information

Primary practice address
3603 6Th Ave S St Petersburg FL 33711-1715
Phone: (727) 454-9443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN2968372 Florida

Profile Details

NPI number 1457243651
LBN Legal business name Granger Macon, Alisa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2025
Last updated Jul 21st, 2025 - about last year

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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