Individual provider · Type 1 NPI

Jerald Dean Grissom Iii

Student in an Organized Health Care Education/Training Program · Lynchburg, VA

NPI number 1780475277 Active

Practice location

306 Liberty View Ln
Lynchburg, VA 24502-2291

Call (434) 592-6400 Map

Mailing address

2600 Weeping Willow Dr Apt B
Lynchburg, VA 24501-3938

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Intermediate Emergency Medical Technician 146M00000XP530638 (NC)
Intermediate Emergency Medical Technician 146M00000XC202504081 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

328 other providers at this address

Other student in an organized health care education/training program providers in Lynchburg

See all in Lynchburg →

About NPI 1780475277

Jerald Dean Grissom Iii's National Provider Identifier is 1780475277, issued on May 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynchburg, VA. The record was last updated on Jul 30, 2025.