Individual
LINDA SIMPSON GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3201 EDWARDS MILL RD STE 141, #163, RALEIGH, NC 27612-5371
(919) 443-2360
Mailing address
4901 DEER POINTE CT, GREENSBORO, NC 27406-8714
(336) 674-6149
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024170535
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
204613
NC
Other
Enumeration date
07/24/2012
Last updated
04/10/2023
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