Individual ProviderShanika Lanell GrantLicensed Vocational NurseNursing Service ProvidersPractice Address1828 Ese, Tx-323 Loop Suite 101, Tyler, Tx 75701, Tyler, TX 75701-2004(903) 363-6760PECOS EnrollmentBased on the most recent information from CMS, provider Shanika Lanell Grant does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063023935Provider TypeIndividualFull NameGrant, Shanika LanellGenderFemaleSole ProprietorNoEnumeration Date8/13/2020Last Updated11/24/2021Contact InformationPractice LocationPractice Address1828 Ese, Tx-323 Loop Suite 101, Tyler, Tx 75701, Tyler, TX 75701-2004Phone(903) 363-6760FaxUnlisted FaxMailing LocationMailing Address1828 Ese, Tx-323 Loop Suite 101, Tyler, Tx 75701, Tyler, TX 75701-2004PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense217806Texas