Individual provider · Type 1 NPI

Samantha Nicole Grimsley

Medical Physician Assistant · Norfolk, VA

NPI number 1821924739 Active

Practice location

6379 Center Dr
Norfolk, VA 23502-4102

Mailing address

1780 Ashlar Ln
Chesapeake, VA 23320-3115

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1821924739

Samantha Nicole Grimsley's National Provider Identifier is 1821924739, issued on Jun 18, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norfolk, VA. The record was last updated on Jun 18, 2026.