| Doctor Name: | JAMES MICHAEL GRISSETT |
| NPI Number: | 1861894834 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN, FNP-C |
| License Number: | 689001 |
| Business Practice Address: | 514 S Bonham St Mexia, TX - 766673600 |
| Business Phone Number: | 2545629321 |
| Business Fax Number: | 2545623570 |
| Mailing Address: | 514 S Bonham St, MEXIA |
| State: | TX |
| Postal Code: | 766673600 |
| Phone Number: | 2545629321 |
| Fax Number: | 2545623570 |
| NPI Enumeration Date: | 09/22/2014 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 689001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |