Individual
CHRISTY LEA GRINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP136984
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441150
WELLCARE
GA
01
—
441157
WELLCARE
GA
01
—
441164
WELLCARE
GA
01
—
441165
WELLCARE
GA
05
—
787541872A
—
GA
05
—
787541872C
—
GA
05
—
787541872E
—
GA
05
—
787541872F
—
GA
Enumeration date
02/27/2008
Last updated
10/30/2025
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