Individual
BRITTNEY ELIZABETH GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1188 YADKINVILLE RD, MOCKSVILLE, NC 27028-2037
(336) 716-7435
(336) 702-9277
Mailing address
PROVIDER ENROLLMENT, 100 KIMEL FOREST DRIVE, WINSTON-SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010848
NC
363LF0000X
Family Nurse Practitioner
5010848
NC
Other
Enumeration date
08/10/2018
Last updated
10/16/2023
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