Individual
MR. JASON W GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
600 AVIATOR CT STE 100B, VANDALIA, OH 45377-9474
(210) 860-0626
Mailing address
600 AVIATOR CT STE 100B, VANDALIA, OH 45377-9474
(210) 860-0626
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.025146
OH
Other
Enumeration date
10/21/2008
Last updated
10/05/2020
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