| Doctor Name: | MS. JENNIFER LEIGH GRISE |
| NPI Number: | 1578627972 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 063747-23 |
| Business Practice Address: | 3073 White Mountain Hwy North Conway, NH - 038607101 |
| Business Phone Number: | 6033565461 |
| Business Fax Number: | 6033566475 |
| Mailing Address: | 3073 White Mountain Hwy, NORTH CONWAY |
| State: | NH |
| Postal Code: | 038607101 |
| Phone Number: | 6033565461 |
| Fax Number: | 6033566475 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 03/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 063747-23 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |