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Jessica Mckenzie Grimsley, FNP
Family Nurse Practitioner in Lake City, South Carolina
NPI 1255799631

Jessica Mckenzie Grimsley is a Family Nurse Practitioner based in New York, SC and is specialized in Family. Jessica Mckenzie Grimsley practices in Lake City, SC and has the professional credentials of FNP. The NPI Number for Jessica Mckenzie Grimsley is 1255799631 and holds a License No. 19962 (South Carolina).

The current practice location address for Jessica Mckenzie Grimsley is 276 N Ron Mcnair Blvd, Lake City, SC and can be reached out via phone at 843-394-5471.

Location: 276 N Ron Mcnair Blvd, Lake City, SC, 10087-3467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255799631
Provider Name
Jessica Mckenzie Grimsley
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
276 N Ron Mcnair Blvd, Lake City, SC, 10087-3467
Phone Number
843-394-5471
Fax Number
Provider Enumeration Date
02/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
276 N Ron Mcnair Blvd
City
Lake City
State
South Carolina
Zip
29560-2462
Phone Number
843-394-5471
Fax Number
person
Provider Business Mailing Address Details
Address
276 N Ron Mcnair Blvd
City
Lake City
State
South Carolina
Zip
29560-2462
Phone Number
843-394-5471
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
19962 (South Carolina)
Definition
Definition to come...
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