Individual
MS. JUDITH LESLIE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-5344
Mailing address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-5344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000039506
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4326
PROVIDER NUMBER FOR METRO PUBLIC HEALTH DEPARTMENT
TN
Enumeration date
08/21/2008
Last updated
08/21/2008
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