Individual provider · Type 1 NPI

Rebecca Grimm

Family Nurse Practitioner · St. Petersburg, FL

NPI number 1639716764 Active

Practice location

620 10th St N
St. Petersburg, FL 33705-1407

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11005276 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1639716764

Rebecca Grimm's National Provider Identifier is 1639716764, issued on Dec 9, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 4, 2026.