Provider Demographics
NPI:1740687227
Name:GRIGSON, JOYCE W (RN-BC, PH,D)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:W
Last Name:GRIGSON
Suffix:
Gender:F
Credentials:RN-BC, PH,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TR. 59 FREEDOM BLVD.
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320
Mailing Address - Country:US
Mailing Address - Phone:610-269-9713
Mailing Address - Fax:
Practice Address - Street 1:TR. 59 FREEDOM BLVD.
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320
Practice Address - Country:US
Practice Address - Phone:610-269-9713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA951325102L00000X
PARN-108222L163WG0000X
DCRN-BC127986163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice