JACOB GRISHAM

NEWBURGH, IN
NPI1417776196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71015844A)
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
JACOB GRISHAM FNP
3800 VENETIAN WAY
NEWBURGH, IN 47630-8257
Phone number: 812-477-6103
Mailing Address
JACOB GRISHAM FNP
3800 VENETIAN WAY
NEWBURGH, IN 47630-8257
Phone number: 812-477-6103