Individual provider · Type 1 NPI
Theresa Grimes, FNP-BC
Family Nurse Practitioner · Port Jefferson, NY
NPI number
1912910910
Active
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Mailing address
12 Monitor Ct
Coram, NY 11727-1634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F332400-1 (NY) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Port Jefferson
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About NPI 1912910910
Theresa Grimes, FNP-BC's National Provider Identifier is 1912910910, issued on Aug 14, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Jefferson, NY. The record was last updated on Feb 4, 2011.