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

Nicole Grissom

Individual provider Licensed Vocational Nurse · NPI 1932984937

Nicole Grissom is a Licensed Vocational Nurse in Ceres, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

3016 Glen Park Way
Ceres, CA 95307-2928
Phone: (541) 778-3099
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 732242 (CA)

Record details

NPI number1932984937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address3016 Glen Park Way, Ceres, CA 95307-2928

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