Griswold, Jennifer S.

Griswold, Jennifer S. is an individual health care provider with primary practice located at 1018 Sw Emkay Dr , Bend OR 97702-1010. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Griswold, Jennifer S. can be contacted via phone (541) 716-0113.

Contact Information

Primary practice address
1018 Sw Emkay Dr Bend OR 97702-1010
Phone: (541) 716-0113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP10774 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200950013NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202111832NP-PP Oregon

Profile Details

NPI number 1245343870
LBN Legal business name Griswold, Jennifer S.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jan 24th, 2024 - about last year

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 1245343870 NPPES
Oregon MEDICAID 500604912
Oregon Other NP10774

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