Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JASON GRANADA, AGNP
ActiveMARK JASON GRANADA, AGNP is a Gerontological Nurse Practitioner healthcare provider located in MERCED, California. NPI 1386353761 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · MERCED, CA
Registration Details
- NPI Number
- 1386353761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2022 (3.7062202159319 yrs)
- Last Updated
- Jul 30, 2024
- Licenses
-
95024681 (CA)95024681 (CA)
Practice Information
- Address
-
857 W CHILDS AVEMERCED, CA, 953416862Browse CA providers · Browse ZIP 95341
- Phone
- 2097224842
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in MERCED, CA
| Name | Credential | NPI |
|---|---|---|
| MISS RASHILDA AYANNA STORM | MSN, AGPCNP-BC | 1033520820 |
| MRS. ARLENE ACTA GABOT | AGNP | 1548741515 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.