Jennifer Grinage, PA-C

NPI 1396151395 · on the registry since 2014 · sole proprietor

Practice

Address: 222 Southway Ave Ste C
Lewiston, ID 83501
Phone: (208) 792-0111
Organisation at this address: River Horse Medical Clinic
Lewis Clark Kidney Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho