Individual provider · Type 1 NPI

Katy Grismore, CPNP

Nurse Practitioner · Mooresville, IN

NPI number 1740646520 Active

Practice location

1001 Hadley Rd Ste LL050
Mooresville, IN 46158-1883

Fax (317) 834-3519

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X28197474A (IN)
Nurse Practitioner Primary 363L00000X71006027A (IN)

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…

Other nurse practitioner providers in Mooresville

See all in Mooresville →

About NPI 1740646520

Katy Grismore, CPNP's National Provider Identifier is 1740646520, issued on Jan 8, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mooresville, IN. The record was last updated on Jul 31, 2023.