Doctor Name: | MRS. JENNIFER CHERAE GRIGGS |
NPI Number: | 1104243856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | 205873 |
Business Practice Address: | 810 Brown St Bishopville, SC - 29010 |
Business Phone Number: | 8034846612 |
Business Fax Number: | |
Mailing Address: | 810 Brown St, BISHOPVILLE |
State: | SC |
Postal Code: | 29010 |
Phone Number: | 8034846612 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 205873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |