MEDICARE: DR. JENNA B GRANT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	1024825	MA
2	207P00000X	Emergency Medicine Physician	81738	CT

General Provider Information

NPI Number	:	1497484935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNA B GRANT MD

Provider Business Mailing Address
First Line	:	SAINT FRANCIS HOSPITAL 114 WOODLAND ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06105
Country	:	US
Telephone Number	:	860-714-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	SAINT FRANCIS HOSPITAL 114 WOODLAND ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06105
Country	:	US
Telephone Number	:	860-714-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	12/01/2025

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