Individual
JOY R GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
913 CONFERENCE DR STE 103, GOODLETTSVILLE, TN 37072
(615) 859-6644
(615) 859-5577
Mailing address
913 CONFERENCE DR STE 103, GOODLETTSVILLE, TN 37072-1991
(615) 859-6644
(615) 859-5577
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
15891
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
65078
NM
363LF0000X
Family Nurse Practitioner
309016285
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
309016285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309015888
—
IL
Enumeration date
06/14/2011
Last updated
07/19/2023
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