Grigsby, Dawn Lynn

Grigsby, Dawn Lynn is an individual health care provider with primary practice located at 97 Great Teays Blvd Ste 6, Scott Depot WV 25560-9815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grigsby, Dawn Lynn can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9815
Phone: (304) 757-6999
Fax: (304) 757-3252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 41107 West Virginia

Profile Details

NPI number 1114150398
LBN Legal business name Grigsby, Dawn Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114150398 NPPES
West Virginia MEDICAID 3810016001
West Virginia MEDICAID 1114150398

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