Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILLIAN NICHOLE DEROSA-GRUND
Active Sole ProprietorJILLIAN NICHOLE DEROSA-GRUND is a Optician, Dispensing healthcare provider located in TOMBALL, Texas. NPI 1336865633 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · TOMBALL, TX
Registration Details
- NPI Number
- 1336865633
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2022 (3.8552029800568 yrs)
- Last Updated
- Oct 18, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
27650 TOMBALL PKWYTOMBALL, TX, 773756518Browse TX providers · Browse ZIP 77375
- Phone
- 2815414811
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.