Grisham, Jessica Nicole

Grisham, Jessica Nicole is an sole proprietor health care provider with primary practice located at 3408 Office Park Dr , Marion IL 62959-6477. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Grisham, Jessica Nicole can be contacted via phone (618) 997-5266.

Contact Information

Primary practice address
3408 Office Park Dr Marion IL 62959-6477
Phone: (618) 997-5266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209025601 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041405852 Illinois

Profile Details

NPI number 1134841125
LBN Legal business name Grisham, Jessica Nicole
Credentials MSN, APRN, WHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2022
Last updated Jul 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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