Grigsby, Jennifer B

Grigsby, Jennifer B is an sole proprietor health care provider with primary practice located at 2555 W Campo Alegre Cir , Mesa AZ 85202-5465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Grigsby, Jennifer B can be contacted via phone (480) 699-0299.

Contact Information

Primary practice address
2555 W Campo Alegre Cir Mesa AZ 85202-5465
Phone: (480) 699-0299
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA0735 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704160901 Michigan

Profile Details

NPI number 1598732638
LBN Legal business name Grigsby, Jennifer B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jul 7th, 2015 - about 9 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 1598732638 NPPES
Michigan Other 430F364420 BCBSM
Michigan MEDICAID 2758044 BCBSM

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