Individual
RYAN GRIMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
107 WATTS ST, JONESBORO, LA 71251-2053
(318) 395-2121
Mailing address
107 WATTS ST, JONESBORO, LA 71251-2053
(318) 395-2121
(318) 395-8768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
08286
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2397966
—
LA
Enumeration date
06/25/2015
Last updated
08/12/2025
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