Individual
CLAY GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
564 REDBERRY LN, SAINT JOHNS, FL 32259-4807
(904) 806-8262
Mailing address
564 REDBERRY LN, SAINT JOHNS, FL 32259-4807
(904) 806-8262
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP9349258
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9349258
FL
Other
Enumeration date
11/17/2014
Last updated
04/18/2023
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