Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962339440 Individual Practitioner Female Practitioner

Sandisover Annettie Grant , APRN

Nurse Practitioner • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Sandisover Grant, APRN is a registered healthcare professional specializing in Nurse Practitioner in Orange Park, FL. Practice services are available at 1465 KINGSLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1465 Kingsley Ave

Orange Park, FL 320734504

Telephone 9046440092
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Orange Park, FL (8990 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL 11044607

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

7011 A C Skinner Pkwy Ste 160

Jacksonville, FL 322566953

Phone: 9046440092

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Charlotte Mack , APRN

Nurse Practitioner - Family

NPI 1194367383

Advanced Practice Registered Nurse

Sedekah Robinson

Nurse Practitioner - Family

NPI 1346167517
NPI 1346979283

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Lindsay Richmond , APRN

Nurse Practitioner

NPI 1366187791

Advanced Practice Registered Nurse

Dr. Yuhning Hu , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1457515314

Doctor of Medicine (M.D.)

Dr. Ibrahim Fahdi , MD

Internal Medicine - Cardiovascular Disease

NPI 1588754055

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address June 05, 2026

Registered at PO BOX 919932, ORLANDO, FL 328919932 (Tel: 9044933333)

NPI Profile Active May 07, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2026

Registered at 1465 KINGSLEY AVE, ORANGE PARK, FL 320734504 (Tel: 9046440092)

📍
Updated Business Mailing Address May 07, 2026

Registered at 3140 RIDGEVIEW DRIVE, GREEN COVE SPRINGS, FL 32043 (Tel: 7576095277)

👤
Provider Name / Credentials Updated May 07, 2026

Recorded as SANDISOVER GRANT, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2026

Nurse Practitioner (License #11044607 in FL)

🟢
Initial NPI Registration & Enumeration May 07, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sandisover Grant. Be the first to share your experience!

Sign in to leave a review for Sandisover Grant

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1962339440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2026
Last Update: June 05, 2026
Sole Proprietor: No

Mailing Address

Po Box 919932

Orlando, FL 328919932

Phone: 9044933333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.