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Jennifer L Grim
Family Nurse Practitioner in Willow Street, Pennsylvania
NPI 1407370356

Jennifer L Grim is a Family Nurse Practitioner based in Willow Street, PA and is specialized in Family. Jennifer L Grim practices in Willow Street, PA. The NPI Number for Jennifer L Grim is 1407370356 and holds a License No. SP017534 (Pennsylvania).

The current practice location address for Jennifer L Grim is 2605 Willow Street Pike N, Willow Street, PA and can be reached out via phone at 717-464-2838 and via fax at 717-464-3812.

Location: 2605 Willow Street Pike N, Willow Street, PA, 17584-9510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407370356
Provider Name
Jennifer L Grim
Credential
Provider Entity Type
Individual
Gender
Female
Address
2605 Willow Street Pike N, Willow Street, PA, 17584-9510
Phone Number
717-464-2838
Fax Number
717-464-3812
Provider Enumeration Date
08/02/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2605 Willow Street Pike N
City
Willow Street
State
Pennsylvania
Zip
17584-9510
Phone Number
717-464-2838
Fax Number
717-464-3812
person
Provider Business Mailing Address Details
Address
2605 Willow Street Pike N
City
Willow Street
State
Pennsylvania
Zip
17584-9510
Phone Number
717-464-2838
Fax Number
717-464-3812
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP017534 (Pennsylvania)
Definition
Definition to come...
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