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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780475277

Mr. Jerald Dean Grissom III is a Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia. Licensed in North Carolina and Virginia. Registered with an NPI since 2025.

Licensed in
NC, VA
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lynchburg, VA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Intermediate Emergency Medical Technician Taxonomy 146M00000X · Licence P530638 (NC)
Intermediate Emergency Medical Technician Taxonomy 146M00000X · Licence C202504081 (VA)

Record details

NPI number1780475277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

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