JENIFER ANN GRISSOM (NPI# 1275818692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275818692 |
| Entity Type | Individual |
| Full Name | JENIFER ANN GRISSOM |
| Credential | ARNP |
| Practice Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6414462383 |
| Practice Fax Number | 6414462382 |
| Mailing Telephone | 6414462383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A105481 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 NE 14TH ST |
| City | LEON |
| State | IA |
| Zip Code | 50144-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134197643 | Larry Wayne Richard | Family Medicine | 302 Ne 14th St, Leon, IA 50144-1206 | 2006-03-09 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
| 1588226492 | Aaron Cobb | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2019-07-01 |
| 1801388764 | Kate Elaine O'donnell | Dentist | 302 Ne 14th St, Leon, IA 50144-1206 | 2018-06-05 |
| 1598283533 | Maria Beatriz Dantzler | Marriage & Family Therapist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-08-30 |
| 1649794181 | Ryan Banks | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-07-26 |
| 1598287476 | Laura Heide | Counselor | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-07-12 |
| 1306378443 | Julie Ury | Counselor | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-03-29 |
| 1205377322 | Community Health Centers of Southern Iowa, Inc | Pharmacy | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-03-09 |
| 1326588179 | Adam Dosch | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469168 | Michaella Marie Power | Technician | 401 Se Q St, Apt 31, Leon, IA 50144 | 2020-05-27 |
| 1285764175 | Decatur County Community Services | Case Management | 201 Ne Idaho, Leon, IA 50144 | 2007-03-07 |
| 1093793051 | County of Decatur | Home Health | 207 Ne Idaho St, Leon, IA 50144 | 2006-01-09 |
| 1356860498 | Mara Wengryn | Chiropractor | 303 Sw Lorraine St Ste C, Leon, IA 50144-1101 | 2017-09-10 |
| 1184025918 | Westview Properties LLC | Assisted Living Facility | 203 Sw Lorraine St, Leon, IA 50144-1176 | 2014-09-11 |
| 1467422709 | Westview Acres Corp | Alzheimer Center (Dementia Center) | 203 Sw Lorraine St., Leon, IA 50144-1176 | 2006-01-26 |
| 1497827570 | South Central Home Health Care Inc | Home Health | 303 Sw Lorraine St, Leon, IA 50144-1178 | 2006-11-14 |
| 1285120659 | Miranda Nicole Helm | Emergency Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2018-07-09 |
| 1518470392 | Timothy Alan Harper | Nurse Practitioner | 1405 Nw Church St, Leon, IA 50144-1205 | 2017-11-15 |
| 1760632640 | Decatur County Hospital | Family Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2008-09-26 |
| Find all providers in zip 50144 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901817 | Lyndsay Megan Wickline | Nurse Practitioner | 1066 Union School Rd, Leon, WV 25123-5657 | 2020-01-16 |
| 1518470392 | Timothy Alan Harper | Nurse Practitioner | 1405 Nw Church St, Leon, IA 50144-1205 | 2017-11-15 |
| 1851740781 | Jean Ruth Clapham | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2016-06-10 |
| 1245634401 | Terrilee Jackel | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2014-10-17 |
| 1679986350 | Jennifer Spoerl | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2014-06-10 |
| 1003155995 | Alva Eugene Yoder | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.