Provider Demographics
NPI:1326305418
Name:GRIGG, JANETTE LEE (FNP-C)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:LEE
Last Name:GRIGG
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:625 S FAIR OAKS AVE
Mailing Address - Street 2:325
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2613
Mailing Address - Country:US
Mailing Address - Phone:626-535-9344
Mailing Address - Fax:626-535-9387
Practice Address - Street 1:625 S FAIR OAKS AVE
Practice Address - Street 2:325
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2613
Practice Address - Country:US
Practice Address - Phone:626-535-9344
Practice Address - Fax:626-535-9387
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA381311363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily