Individual provider · Type 1 NPI

Christian Nicole Grissom

Student in an Organized Health Care Education/Training Program · Virginia Beach, VA

NPI number 1225934011 Active

Practice location

1881 University Dr
Virginia Beach, VA 23453-8083

Mailing address

3362 Bethany Church Rd
Bumpass, VA 23024-3702

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001302562 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225934011

Christian Nicole Grissom's National Provider Identifier is 1225934011, issued on Oct 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Virginia Beach, VA. The record was last updated on Oct 17, 2026.