Individual
SONYA M GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2700 E 29TH ST STE 260, BRYAN, TX 77802-2587
(979) 774-0012
(979) 774-4636
Mailing address
2700 E 29TH ST STE 260, BRYAN, TX 77802-2587
(979) 774-0012
(979) 774-4636
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP133115
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
NUR-APRN-LIC-179400
MT
363LG0600X
Gerontology Nurse Practitioner
71012760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962949768
—
TX
05
—
369270901
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8229MC
BCBS
TX
01
—
P01812736
RAIL ROAD MEDICARE
TX
Enumeration date
01/31/2017
Last updated
09/09/2025
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