Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE GRANESE, M.D.
ActiveJACQUELINE GRANESE, M.D. is a Dermatopathology healthcare provider located in BOWLING GREEN, Kentucky. NPI 1649479460 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · BOWLING GREEN, KY
Registration Details
- NPI Number
- 1649479460
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2007 (19.102133954767 yrs)
- Last Updated
- Jul 21, 2022
- License
-
42560 (KY)
Practice Information
- Address
-
1065 ASHLEY ST STE 200BOWLING GREEN, KY, 421033401Browse KY providers · Browse ZIP 42103
- Phone
- 2708433376
- Fax
- 2707800496
- Primary Specialty
-
Dermatopathology
207ND0900X
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.