Individual
JENNA GRIMSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(800) 843-2384
Mailing address
28 COACH LN, UPPER SADDLE RIVER, NJ 07458-1505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
363AM0700X
Medical Physician Assistant
25MP00441200
NJ
Other
Enumeration date
06/07/2017
Last updated
07/28/2023
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