Mrs. JESSICA GRIGOREVA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1619486693- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 112 W ROSS BLVD, DODGE CITY, KS, 678017219
- Phone
- (620) 371-7130
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: KS #53-75850-031
Nurse Practitioner, Primary Care
License: KS #78580
All Addresses
MAILING
112 W ROSS BLVD
DODGE CITY, KS, 678017219