Individual provider · Type 1 NPI
John Grimshaw, FNP-C
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1902314958
Active
Practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
14394 US Highway 6
Syracuse, IN 46567-9207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28202216A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | PENDING (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902314958
John Grimshaw, FNP-C's National Provider Identifier is 1902314958, issued on Jan 11, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 11, 2018.