Individual provider · Type 1 NPI
Simonique Jessie-Allean Grissom
Family Nurse Practitioner · Denver, CO
NPI number
1710623012
Active
Practice location
777 Bannock St
Denver, CO 80204-4597
Fax (303) 602-4550
Other practice locations
- 225 S Union Blvd, Colorado Springs, CO 80910-3184 · (719) 632-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN.0997794-NP (CO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1710623012
Simonique Jessie-Allean Grissom's National Provider Identifier is 1710623012, issued on May 10, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Denver, CO. The record was last updated on Dec 19, 2024.