Provider Demographics
NPI:1215813860
Name:GRIGSBY, JESSICA (RDMS, RDCS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:GRIGSBY
Suffix:
Gender:F
Credentials:RDMS, RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5950 FREDERICK CROSSING LN STE 101
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5168
Mailing Address - Country:US
Mailing Address - Phone:301-882-1232
Mailing Address - Fax:
Practice Address - Street 1:5950 FREDERICK CROSSING LN STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5168
Practice Address - Country:US
Practice Address - Phone:301-882-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1738312471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography