Individual
JENNIFER L GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9510
(717) 464-2838
(717) 464-3812
Mailing address
2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9510
(717) 464-2838
(717) 464-3812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017534
PA
Other
Enumeration date
08/02/2017
Last updated
03/21/2024
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