Individual
MS. JESSICA DAWN GRISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
400 OLD AUSTIN HWY, BASTROP, TX 78602-5168
(512) 321-2529
(512) 233-0593
Mailing address
1908 N LAURENT ST STE 250, VICTORIA, TX 77901-5417
(361) 576-0694
(512) 233-0593
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1095985
TX
Other
Enumeration date
05/31/2023
Last updated
03/09/2026
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