Individual
JENNA GRILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300
(812) 339-8399
Mailing address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300
(812) 339-8399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28221722A
IN
363L00000X
Nurse Practitioner
Primary
71009514A
IN
Other
Enumeration date
08/29/2019
Last updated
05/18/2021
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