Individual
JENNY LEIGH GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 WHITE ST., RUSTON, LA 71270
(318) 251-4150
Mailing address
316 SAINT CHARLES ST, JONESBORO, LA 71251-2344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
240372
LA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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