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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TISHA GRISSOM

Active

TISHA GRISSOM is a Licensed Practical Nurse healthcare provider located in BROOKLYN, New York. NPI 1215464862 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BROOKLYN, NY

Registration Details

NPI Number
1215464862
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2017 (9.0634524822234 yrs)
Last Updated
May 15, 2017
License
262906 (NY)

Practice Information

Address
494 DUMONT AVE
BROOKLYN, NY, 112075017
Browse NY providers · Browse ZIP 11207
Phone
7182602920
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BROOKLYN, NY

Name Credential NPI
MS. JOAN VORDERBRUGGEN LPN 1538159850
MISS KATIUSCIA VOLCY LPN 1316025042
LORY QUIDILLA NP 1124191853
MRS. PATRICIA MORGAN LPN 1699823856
CAROLINE GRIFFITH LPN 1811023385
KEISHA YEARWOOD LPN 1174659650
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.