Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENIFER ANN GRISSOM, CNP
DeactivatedDR. JENIFER ANN GRISSOM, CNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BAXTER, Minnesota. NPI 1275818692 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BAXTER, MN
This NPI has been deactivated.
The record was deactivated on March 21, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1275818692
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2011 (11.424657534247 yrs)
- Last Updated
- Nov 5, 2025
- Deactivated
- Mar 21, 2023
- Licenses
-
10032 (MN)16370 (WI)A105481 (IA)
Practice Information
- Address
-
13045 FALCON DR STE 100BAXTER, MN, 564254201Browse MN providers · Browse ZIP 56425
- Phone
- 2188299307
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
- Additional Specialty
- Family Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in BAXTER, MN
| Name | Credential | NPI |
|---|---|---|
| MELISSA A VIRNIG | RN, CNP | 1558379974 |
| MS. LATRICIA ANN ALT-PETERS | APRN, CNP | 1467611657 |
| NICOLLE HAGEN | APRN | 1477038560 |
| MRS. AMANDA JUNE INAS MIKHAEIL | PMHNP | 1114570298 |
| JACQUELINE GRINNELL | APRN | 1861045262 |
| MAREI ARDEN BENTON | APRN, CNP | 1518518877 |
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.