Jordan P Grimm is a student in an organized health care education training program in Peoria, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jordan P Grimm NPI is 1942964192. 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:
7617 N VILLA WOOD LN
PEORIA, IL
ZIP 61614-588
Phone: (309) 693-8200
The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.