Individual provider · Type 1 NPI

Chanelle Grissom

Licensed Practical Nurse · Williamsville, NY

NPI number 1255996948 Active

Practice location

2250 Wehrle Dr Ste 1
Williamsville, NY 14221-7034

Call (716) 276-2123 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322694 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1255996948

Chanelle Grissom's National Provider Identifier is 1255996948, issued on May 8, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Williamsville, NY. The record was last updated on May 8, 2019.