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

Khairunissia Meichelle Grant

Individual provider Nurse Practitioner · NPI 1801756044

Khairunissia Meichelle Grant is a Nurse Practitioner in Detroit, Michigan. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3031 W Grand Blvd
Detroit, MI 48202-3046
Phone: (313) 916-2454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25735 Curie Ave, Warren, MI 48091-3829 — (313) 753-9111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704267384 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704267384 (MI)

Record details

NPI number1801756044
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 12, 2025
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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