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General NPI Number Information
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NPI Number | 1164759742
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Entity Type | Individual
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Provider Name | JESSICA ERIN GRANATA DNP, FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1166 E BLUE HERON BLVD
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-4738
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Country | US
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Telephone | 561-448-1665
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Fax | 321-616-7676
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Provider Business Mailing Address
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Address Line | 19609 ESTUARY DR
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City | BOCA RATON
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State | FL
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Zip | 33498-6202
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Country | US
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Telephone | 617-285-6198
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Fax | 321-616-7676
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 19041
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 19041
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN263331
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9346569
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 40293
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19041
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9346569
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 40293
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License Number State | TN
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