CLAY GRIMES AG-ACNP NPI 1245636471

NPI Information

NPI: 1245636471
Provider Name: CLAY GRIMES, AG-ACNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
564 REDBERRY LN
SAINT JOHNS, FL
ZIP 32259
Phone: (904) 806-8262
Get Directions

Clay Grimes, AG-ACNP is a psychiatric/mental health nurse practitioner in Saint Johns, FL with 10 years of experience. Clay Grimes, AG-ACNP NPI is 1245636471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

564 REDBERRY LN
SAINT JOHNS, FL
ZIP 32259-807
Phone: (904) 806-8262

The NPI 1245636471 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 11/17/2014 and was last updated on 4/18/2023.

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	363LA2100X	Nurse Practitioner	Acute Care	ARNP9349258	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN9349258	FLORIDA	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: 5/5/2024

NPI Synchronization or Removal

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