Individual provider · Type 1 NPI
Jessica Nicole Grisham, MSN, APRN, WHNP
Women's Health Nurse Practitioner · Carbondale, IL
NPI number
1134841125
Active
Practice location
2601 W Main St
Carbondale, IL 62901-1031
Fax (618) 351-4878
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Other practice locations
- 405 Rushing Dr, Herrin, IL 62948-3730 · (618) 993-3300
- 117 E Clark St, Harrisburg, IL 62946-2702 · (618) 252-8625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 209025601 (IL) |
| Nurse Practitioner | 363L00000X | 209025601 (IL) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1134841125
Jessica Nicole Grisham, MSN, APRN, WHNP's National Provider Identifier is 1134841125, issued on Sep 15, 2022. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Carbondale, IL. The record was last updated on Oct 1, 2025.