person
Mrs. Jessica Grigoreva
Primary Care Nurse Practitioner in Dodge City, Kansas
NPI 1619486693

Jessica Grigoreva is a Primary Care Nurse Practitioner based in Dodge City, KS and is specialized in Primary Care. Jessica Grigoreva practices in Dodge City, KS. The NPI Number for Jessica Grigoreva is 1619486693 and holds a License No. 53-75850-031 (Kansas).

The current practice location address for Jessica Grigoreva is 112 W Ross Blvd, Dodge City, KS and can be reached out via phone at 620-371-7130.

Location: 112 W Ross Blvd, Dodge City, KS, 67801-7219
person
Provider Profile Details
NPI Number
1619486693
Provider Name
Jessica Grigoreva
Credential
Provider Entity Type
Individual
Gender
Female
Address
112 W Ross Blvd, Dodge City, KS, 67801-7219
Phone Number
620-371-7130
Fax Number
Provider Enumeration Date
09/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 W Ross Blvd
City
State
Zip
67801-7219
Phone Number
620-371-7130
Fax Number
person
Provider Business Mailing Address Details
Address
112 W Ross Blvd
City
State
Zip
67801-7219
Phone Number
620-371-7130
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
78580 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
53-75850-031 (Kansas)
Definition
Definition to come...
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