Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fallon Chanel Granger, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1518630243

Fallon Chanel Granger, NURSEPRACTITIONER is a Family Nurse Practitioner in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 244-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11013960 (FL)

Record details

NPI number1518630243
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

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