Individual
HALEY TRIVETTE GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6301 STADIUM DR, CLEMMONS, NC 27012-8766
(336) 428-6630
Mailing address
6301 STADIUM DR STE 500, CLEMMONS, NC 27012-8766
(336) 766-6473
(336) 766-8909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022828
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
07/26/2025
Last updated
03/11/2026
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