Most Relevant Information
Provider Data
| NPI Number: | 1003347915 |
| Provider Name: | JACOB GRAND MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2017 |
| Last Updated: | 05/31/2022 |
Provider Practice Location
5201 CHARLOTTE PIKE
NASHVILLE
TN
372093320
Practice Location Phone/Fax
| Phone: | 3142769282 |
| Fax: |
Provider Mailing Location
5211 MICHIGAN AVE
NASHVILLE
TN
372092028
Provider Mailing Phone/Fax
| Phone: | 3142769282 |
| Fax: |