Most Relevant Information
Provider Data
| NPI Number: | 1003555954 |
| Provider Name: | KRISTINA GRIMES |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN0000030807 |
Most Important Dates
| Enumeration Date: | 05/31/2022 |
| Last Updated: | 05/31/2022 |
Provider Practice Location
304 WRIGHT ST
SWEETWATER
TN
378741181
Practice Location Phone/Fax
| Phone: | 8652138200 |
| Fax: |
Provider Mailing Location
1429 GROVE ST
LOUDON
TN
377741518
Provider Mailing Phone/Fax
| Phone: | 6784649548 |
| Fax: |