JAYVAUGHN DEANTE GRISSOM
NPI 1073217733
Technician/Technologist in Dearborn, MI
About Jayvaughn Deante Grissom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAYVAUGHN DEANTE GRISSOM (NPI 1073217733) is an individual technician/technologist in Dearborn, Michigan and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
A broad category grouping different kinds of technologists and technicians. See individual definitions.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jayvaughn Grissom's NPI number?
The NPI number for Jayvaughn Grissom is 1073217733. It was assigned to this individual provider in the NPPES registry on March 28, 2023.
Where is Jayvaughn Grissom located?
Jayvaughn Grissom practices at 19853 Outer Dr Ste 110, Dearborn, MI 48124. The listed phone number is (313) 406-5056.
What is Jayvaughn Grissom's specialty?
The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.
When was this NPI record last updated?
The NPPES record for Jayvaughn Grissom was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
