SearchNorth Carolina101YM0800X

Jennifer Grissom

NPI 1659055507 · on the registry since 2023 · sole proprietor

Practice

Address
5320 Bridgers Rd Ste 4
Shallotte, NC 28470
Phone
(910) 769-9126
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-12

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 North Carolina