Healthcare Provider Details

I. General information

NPI: 1427985522
Provider Name (Legal Business Name): FAITH GRIGSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 WEEPING WILLOW RUN DR
JOHNSTOWN OH
43031-1376
US

IV. Provider business mailing address

204 WEEPING WILLOW RUN DR
JOHNSTOWN OH
43031-1376
US

V. Phone/Fax

Practice location:
  • Phone: 740-258-0688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN.322625
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: