NICOLE GRISSOM
NPI 1932984937
Licensed Vocational Nurse in Ceres, CA

Q: What is Nicole Grissom's NPI number?

The NPI number for Nicole Grissom is 1932984937. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Q: What is Nicole Grissom's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Grissom was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2023

3016 GLEN PARK WAY, CERES, CA 95307(541) 778-3099 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Grissom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE GRISSOM (NPI 1932984937) is an individual licensed vocational nurse in Ceres, California, licensed in California (732242) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1932984937

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameNICOLE GRISSOM

Location Address3016 GLEN PARK WAYCeres, CA 95307-2928

Mailing Address3016 Glen Park WayCeres, CA 95307-2928 · (541) 778-3099

Phone(541) 778-3099

Sole ProprietorYes

Enumeration DateAugust 28, 2023

NPPES CertifiedAugust 28, 2023

✔ NPI 1932984937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 732242

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

3016 GLEN PARK WAY, Ceres, CA 95307

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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 Nicole Grissom's NPI number?

The NPI number for Nicole Grissom is 1932984937. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Nicole Grissom located?

Nicole Grissom practices at 3016 Glen Park Way, Ceres, CA 95307. The listed phone number is (541) 778-3099.

What is Nicole Grissom's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Nicole Grissom was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.