NPI 1003607045

Jennifer Grimm, PAC

Practitioner Physician Assistant Marietta, GA

Practice location

Address: 340 Kennestone Hospital Blvd STE 100, Marietta, GA 30060-1158
Phone: (770) 402-6438

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003607045
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2025
Record last updated: 21 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.