Individual
JACOB TIMOTHY GRISAFFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(916) 887-0000
Mailing address
101 LAGOMARSINO WAY, SACRAMENTO, CA 95819-2335
(916) 532-9637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95428119
CA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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