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

MS. Jodi E Granger, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1437785979

MS. Jodi E Granger, AGNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Washington University Physicians in Illinois Inc, a 167-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2020
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4921 Parkview Pl Dept Radiation Oncology LL
Saint Louis, MO 63110-1032
Phone: (314) 747-7236
Fax: (314) 362-8099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2020004275 (MO)

Record details

NPI number1437785979
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESApril 17, 2025
Certification dateMarch 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Washington University Physicians In Illinois Inc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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