Individual provider · Type 1 NPI

Samantha Grimes, NP

Nurse Practitioner · Edgewood, KY

NPI number 1639876519 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4000479 (KY)
Nurse Practitioner 363L00000XAPRN.CNP.0030543 (OH)

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 1639876519

Samantha Grimes, NP's National Provider Identifier is 1639876519, issued on Feb 13, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Mar 22, 2024.