JENNA EMILY GRIMM LNP NPI 1184936908

NPI Information

NPI: 1184936908
Provider Name: JENNA EMILY GRIMM, LNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
10521 ROSEHAVEN ST
SUITE LL 100
FAIRFAX, VA
ZIP 22030
Phone: (703) 281-5000
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Jenna Emily Grimm, LNP is an obstetrics and gynecology nurse practitioner in Fairfax, VA with 14 years of experience. Jenna Emily Grimm, LNP NPI is 1184936908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10521 ROSEHAVEN ST
SUITE LL 100
FAIRFAX, VA
ZIP 22030-837
Phone: (703) 281-5000
Fax: (703) 281-3491

The NPI 1184936908 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2010 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024168872	VIRGINIA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	0024168872	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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