Active NPI
Telisa Grant, APRN
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9215166
- Practice address
- 10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991 - Phone
- (904) 528-6357
- NPI assigned
- Jul 8, 2014
- Last updated
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9215166 | FL | |
| Nurse Practitioner | 363L00000X | APRN9215166 | FL | Primary |
Addresses
Primary practice location
10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Mailing address
10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Phone (904) 528-6357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (512) 730-3056
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9215166 | FL | MD | Registered Nurse |
| APRN9215166 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Experts Health Network LLC | Multi-Specialty | Current | Accepting new patients |
| Intensive Care Experts Health Network LLC | Multi-Specialty | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848
701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
9355 San Jose Blvd
Jacksonville, FL 32257
Phone (904) 738-0877
1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960
4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1679048284
Multi-Specialty
-
- Pulmonary Disease Physician
- Hallandale Beach, FL
- NPI 1164824397
Multi-Specialty
-
- Surgery Physician
- Jacksonville, FL
- NPI 1548249543
-
- Acute Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1184596637
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1720494941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10257 MAGNOLIA RIDGE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104991",
"telephone_number": "904-528-6357",
"fax_number": "646-337-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10257 MAGNOLIA RIDGE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104991",
"telephone_number": "904-528-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "TELISA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9215166",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9215166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.