Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER GRINAGE, PA-C
Active Sole ProprietorJENNIFER GRINAGE, PA-C is a Medical Physician Assistant healthcare provider located in LEWISTON, Idaho. NPI 1396151395 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LEWISTON, ID
Registration Details
- NPI Number
- 1396151395
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2014 (12.092377649977 yrs)
- Last Updated
- Nov 14, 2024
- License
-
PA1175 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
222 SOUTHWAY AVE STE CLEWISTON, ID, 835012703Browse ID providers · Browse ZIP 83501
- Phone
- 2087920111
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| MR. LAWRENCE JOSEPH VANTY JR. | PA | 1609144435 |
| ALEXA RHEA | PA-C | 1992174072 |
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.