JESSICA NICOLE GRISHAM

CARBONDALE, IL
NPI1134841125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: IL  209025601)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209025601)
Enumeration Date2022-09-15
Last Update Date2025-07-22
Business Address
JESSICA NICOLE GRISHAM MSN, APRN, WHNP
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
Mailing Address
JESSICA NICOLE GRISHAM MSN, APRN, WHNP
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200