| Organization Name: | L C GRISSOM AND ASSOCIATES PLLC |
| NPI Number: | 1033280359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA CAROL GRISSOM (NURSE PRACTITIONER) |
| Mailing Address: | 1600 W Chandler Blvd Ste. 250 Chandler |
| State: | AZ US |
| Postal Code: | 852246153 |
| Phone Number: | 4807758811 |
| Fax Number: | 4807758866 |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN030340 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |