Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE GRISSOM
Active Sole ProprietorNICOLE GRISSOM is a Licensed Vocational Nurse healthcare provider located in CERES, California. NPI 1932984937 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · CERES, CA
Registration Details
- NPI Number
- 1932984937
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2023 (2.9186250096382 yrs)
- Last Updated
- Aug 28, 2023
- License
-
732242 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3016 GLEN PARK WAYCERES, CA, 953072928Browse CA providers · Browse ZIP 95307
- Phone
- 5417783099
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Other Licensed Vocational Nurse Providers in CERES, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE LEE CASE | LVN | 1760568059 |
| SAMANTHA ANN BRUNO | LVN | 1295856029 |
| TRACY LYNN SHIPMAN | — | 1780707620 |
| MR. MICHAEL DONALD LUCCKETTA | LVN | 1851611644 |
| MARCI K COUCH | LVN | 1841614468 |
| MRS. TAMMY MAE LYNN CANNON | — | 1437574068 |
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.