Individual provider · Type 1 NPI

Haley Trivette Grimm, FNP

Nurse Practitioner · Clemmons, NC

NPI number 1609759992 Active

Practice location

6301 Stadium Dr
Clemmons, NC 27012-8766

Mailing address

6301 Stadium Dr Ste 500
Clemmons, NC 27012-8766

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5022828 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609759992

Haley Trivette Grimm, FNP's National Provider Identifier is 1609759992, issued on Jul 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clemmons, NC. The record was last updated on Mar 11, 2026.