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

Sandisover Annettie Grant, APRN

Individual provider Nurse Practitioner · NPI 1962339440

Sandisover Annettie Grant, APRN is a Nurse Practitioner in Orange Park, Florida. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1465 Kingsley Ave
Orange Park, FL 32073-4504
Phone: (904) 644-0092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 — (904) 644-0092

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11044607 (FL)

Record details

NPI number1962339440
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 7, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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