| Doctor Name: | SUSAN K GRIGSBY |
| NPI Number: | 1346391273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, NP-C, CHPN |
| License Number: | 2006010375 |
| Business Practice Address: | 387 Ih 10 W Fort Stockton, TX - 797352700 |
| Business Phone Number: | 4323362058 |
| Business Fax Number: | 4323364511 |
| Mailing Address: | 387 Ih 10 W, FORT STOCKTON |
| State: | TX |
| Postal Code: | 797352700 |
| Phone Number: | 4323362058 |
| Fax Number: | 4323364511 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 09/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 2006010375 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |