Individual
MRS. JENNA LEE GRILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-7441
(406) 257-0304
Mailing address
PO BOX 37, WEST GLACIER, MT 59936-0037
(203) 848-5771
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MED-PAC-LIC-113139
MT
363A00000X
Physician Assistant
Primary
—
MT
Other
Enumeration date
06/06/2022
Last updated
02/19/2024
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