Individual provider · Type 1 NPI

Jenifer Ann Grissom, CNP

Psychiatric/Mental Health Nurse Practitioner · Baxter, MN

NPI number 1275818692 Active · reactivated Apr 3, 2023

Practice location

13045 Falcon Dr Ste 100
Baxter, MN 56425-4201

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Other practice locations

  • 1001 Fourier Dr Ste 200, Madison, WI 53717-1958 · (608) 740-2001

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XG157945 (IA)
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X16370 (WI)
Family Nurse Practitioner 363LF0000XA105481 (IA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10032 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

47 other providers at this address

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About NPI 1275818692

Jenifer Ann Grissom, CNP's National Provider Identifier is 1275818692, issued on Oct 17, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baxter, MN. The record was last updated on Jul 21, 2026.