Active NPIIndividual providerSole proprietor

Stacy Grissett, NP

Nurse Practitioner, Psych/Mental Health in Bordentown, New Jersey

NPI Number1730649138
Practice location
100 K Johnson Blvd, Bordentown, NJ 08505-2275
Fax
—
Last updated
September 23, 2026

Stacy Grissett is a Nurse Practitioner, Psych/Mental Health based in Bordentown, NJ. Stacy Grissett practices in Bordentown, NJ and has the professional credentials of NP. The NPI Number for Stacy Grissett is 1730649138 and holds a License No. MG5305291 (NJ). The current practice location address for Stacy Grissett is 100 K Johnson Blvd, Bordentown, NJ 08505-2275 and can be reached out via phone at 609-689-5725.

Provider Profile Details

NPI Number
1730649138
Provider Name
Stacy Grissett
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 K Johnson Blvd, Bordentown, NJ 08505-2275
Phone Number
609-689-5725
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2019
Last Update Date
September 23, 2026
Certification Date
September 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 K Johnson Blvd
Bordentown, NJ 08505-2275
Zip
08505-2275
Phone Number
609-689-5725
Bordentown, NJ 08505Get directions →

Provider Business Mailing Address Details

Address
1445 Whitehorse Mercerville RD Ste 111
Hamilton, NJ 08619-3834
City
Hamilton
State
NJ
Zip
08619-3834
Phone Number
609-689-5725
Fax Number
609-689-5726

License Information

License Number (1)
MG5305291
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NO11219900
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy Grissett, NP?

The NPI number of Stacy Grissett, NP is 1730649138. It was assigned on March 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Stacy Grissett, NP?

Stacy Grissett, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number MG5305291.

Where does Stacy Grissett, NP practice?

The practice location is 100 K Johnson Blvd, Bordentown, NJ 08505-2275. The office can be reached at 609-689-5725 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730649138 directly on the NPPES registry website.

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