Doctor Name: | JENNIFER GRIFFITH |
NPI Number: | 1093180440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP,PMHNP-BC, BS,RN |
License Number: | G1183459 |
Business Practice Address: | 1706 W Agency Rd West Burlington, IA - 526551667 |
Business Phone Number: | 3197685858 |
Business Fax Number: | 3193138398 |
Mailing Address: | 1706 W Agency Rd, WEST BURLINGTON |
State: | IA |
Postal Code: | 526551667 |
Phone Number: | 3197685858 |
Fax Number: | 3193138398 |
NPI Enumeration Date: | 12/10/2015 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | G1183459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |