Provider Demographics
NPI:1881565828
Name:PIERCE-GRANT, NI'SHAE MARIE
Entity type:Individual
Prefix:
First Name:NI'SHAE
Middle Name:MARIE
Last Name:PIERCE-GRANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 S 22ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-3014
Mailing Address - Country:US
Mailing Address - Phone:402-213-0626
Mailing Address - Fax:
Practice Address - Street 1:1012 S 22ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-3014
Practice Address - Country:US
Practice Address - Phone:402-213-0626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health