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

Mrs. Kimberly Jean Grissom, NA

Individual provider Personal Care Attendant · NPI 1366760035

Mrs. Kimberly Jean Grissom, NA is a Personal Care Attendant in Placerville, California. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2788 Kenneth Ct
Placerville, CA 95667-4814
Phone: (530) 622-2113
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1366760035
Entity typeIndividual (Type 1)
GenderFemale
Credentials NA
Sole proprietorYes
NPI enumeratedMay 5, 2010
Last updated in NPPESMay 5, 2010