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

Jacqueline Granese, MD

Individual provider Dermatopathology Physician · NPI 1649479460

Jacqueline Granese, MD is a Pathology in Bowling Green, Kentucky. Qualified in 2000, 26 years ago. Practices with Graves Gilbert Clinic PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
26
Licensed in
KY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1065 Ashley St Ste 200
Bowling Green, KY 42103-3401
Phone: (270) 843-3376
Fax: (270) 780-0496
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 42560 (KY)

Record details

NPI number1649479460
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Also practisesDERMATOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Graves Gilbert Clinic Pllc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount