Individual provider · Type 1 NPI
Jacqueline Leight Reichert Grimes
Family Nurse Practitioner · Lakeside Park, KY
NPI number
1548735384
Active
Practice location
334 Farmington Dr
Lakeside Park, KY 41017-3195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | .023697 (OH) |
Family Nurse Practitioner: Definition to come...
About NPI 1548735384
Jacqueline Leight Reichert Grimes's National Provider Identifier is 1548735384, issued on Oct 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakeside Park, KY. The record was last updated on Oct 8, 2018.