Individual provider · Type 1 NPI
Hollister Grissom, NP
Family Nurse Practitioner · New York, NY
NPI number
1366964504
Active
Practice location
1282 York Ave, 18th Floor
New York, NY 10065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F342651-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366964504
Hollister Grissom, NP's National Provider Identifier is 1366964504, issued on Jul 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Jul 18, 2024.