Individual provider · Type 1 NPI

Kelly Jean Grossman, CNP

Psychiatric/Mental Health Nurse Practitioner · St. Paul, MN

NPI number 1629897160 Active

Practice location

2303 Wycliff St Ste W210
St. Paul, MN 55114-1272

Call (612) 424-0434 Map

Fax (877) 905-7069

Mailing address

6204 Cascade Pass
Chanhassen, MN 55317-9475

Other practice locations

  • 6204 Cascade Pass, Chanhassen, MN 55317-9475 · (913) 645-7599

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X12166 (MN)

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

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About NPI 1629897160

Kelly Jean Grossman, CNP's National Provider Identifier is 1629897160, issued on Oct 9, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Paul, MN. The record was last updated on Oct 9, 2024.