DR. Jennifer L Grisham, M.D.

NPI #1952406589 in Tupelo, Mississippi

Provider Information

NPI Number: 1952406589
Entity Type: Individual
Name: DR. Jennifer L Grisham, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Sep 14, 2006
Last Updated: Jan 20, 2011

Practice Location

Address: 1573 MEDICAL PARK CIR
City: Tupelo
State: Mississippi
ZIP Code: 38801-6580
Phone: (662) 844-9885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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