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

Tisha Grissom

Individual provider Licensed Practical Nurse · NPI 1215464862

Tisha Grissom is a Licensed Practical Nurse in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

494 Dumont Ave
Brooklyn, NY 11207-5017
Phone: (718) 260-2920
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 262906 (NY)

Record details

NPI number1215464862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESMay 15, 2017

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