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Individual

JENNIFER B GRIGSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2555 W CAMPO ALEGRE CIR, MESA, AZ 85202-5465
(480) 699-0299
Mailing address
2555 W CAMPO ALEGRE CIR, MESA, AZ 85202-5465
(480) 699-0299

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704160901
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0735
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2758044
MI
01
430F364420
BCBSM
MI
Enumeration date
03/08/2006
Last updated
07/07/2015
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