Grigoreva, Jessica

Grigoreva, Jessica is an individual health care provider with primary practice located at 112 W Ross Blvd , Dodge City KS 67801-7219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grigoreva, Jessica can be contacted via phone (620) 371-7130.

Contact Information

Primary practice address
112 W Ross Blvd Dodge City KS 67801-7219
Phone: (620) 371-7130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-75850-031 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 78580 Kansas

Profile Details

NPI number 1619486693
LBN Legal business name Grigoreva, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Apr 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers