Individual
KENDRA D GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10777 HIGHWAY 412 W, LEXINGTON, TN 38351-6283
(731) 968-5558
(731) 968-5567
Mailing address
10777 HIGHWAY 412 W, LEXINGTON, TN 38351-6283
(731) 968-5558
(731) 968-5567
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22181
TN
Other
Enumeration date
01/19/2017
Last updated
07/21/2022
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