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

Individual provider Family Nurse Practitioner · NPI 1710623012

Simonique Jessie-Allean Grissom is a Nurse Practitioner in Denver, Colorado. Qualified in 2021, 5 years ago. Practices with Hydr8 LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2022
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Practice location Address checks out

777 Bannock St
Denver, CO 80204-4597
Phone: (303) 436-4949
Fax: (303) 602-4550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 S Union Blvd, Colorado Springs, CO 80910-3184 — (719) 632-5700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0997794-NP (CO)

Record details

NPI number1710623012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2022
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hydr8 Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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