Individual provider · Type 1 NPI

Linda Carol Grissom, N.P.

Adult Health Nurse Practitioner · Mesa, AZ

NPI number 1710971072 Active

Practice location

3740 E Southern Ave, Suite 207
Mesa, AZ 85206-2567

Fax (480) 324-0631

Mailing address

PO Box 790379
St. Louis, MO 63179-0379

Other practice locations

  • 3864 N 27th Ave, Phoenix, AZ 85017-4703 · (602) 685-6000

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN040340 (AZ)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP5963 (AZ)

Adult Health Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1710971072

Linda Carol Grissom, N.P.'s National Provider Identifier is 1710971072, issued on Sep 1, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mesa, AZ. The record was last updated on Oct 22, 2026.