Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jerald Dean Grissom III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780475277

Mr. Jerald Dean Grissom III is a Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia. Licensed in North Carolina and Virginia. Registered with an NPI since 2025.

Licensed in
NC, VA
In the registry since
2025
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

306 Liberty View Ln
Lynchburg, VA 24502-2291
Phone: (434) 592-6400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Intermediate Emergency Medical Technician Taxonomy 146M00000X · Licence P530638 (NC)
Intermediate Emergency Medical Technician Taxonomy 146M00000X · Licence C202504081 (VA)

Record details

NPI number1780475277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Other providers in Lynchburg