ALYSSA GRISSOM APN AGCNS NPI 1790213932

NPI Information

NPI: 1790213932
Provider Name: ALYSSA GRISSOM, APN, AGCNS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
4440 W 95TH ST.
8TH FLOOR OUTPATIENT PAVILLION
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-2064
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Alyssa Grissom, APN, AGCNS is an adult health clinical nurse specialist in Oak Lawn, IL. Alyssa Grissom, APN, AGCNS NPI is 1790213932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4440 W 95TH ST.
8TH FLOOR OUTPATIENT PAVILLION
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-2064

The enumeration date for this NPI number is 6/1/2017 and was last updated on 6/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	209014163	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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