Individual provider · Type 1 NPI

Justin Grissom, AG-ACNP, FNP

Nurse Practitioner · Colorado Springs, CO

NPI number 1609542273 Active

Practice location

3210 Gothic Pl
Colorado Springs, CO 80917-4323

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN.0996720-NP (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609542273

Justin Grissom, AG-ACNP, FNP's National Provider Identifier is 1609542273, issued on Aug 23, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 23, 2021.