Individual
MS. JERI BEA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 526-6159
(501) 686-7285
Mailing address
3841 SPRINGLAKE CUTOFF, HENSLEY, AR 72065-9317
(501) 526-6159
(501) 686-7285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-307
AR
Other
Enumeration date
10/19/2007
Last updated
03/03/2008
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