Individual
JENNY L GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNOR, CSFA
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1380
Mailing address
1753 WONDERLAND CAVERN RD, CECILIA, KY 42724-8663
(127) 087-2345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
212234
KY
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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