Individual
ASHLEY GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
761 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 513-4805
Mailing address
761 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 513-4805
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN183224
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN183224
NURSING LICENSE
GA
Enumeration date
08/06/2014
Last updated
08/06/2014
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