Jennifer Grimm, PA-C
Physician Assistant in Marietta, GA. Individual provider (NPI-1).
NPI number1003607045
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1003607045
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Grimm
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2025
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
340 Kennestone Hospital Blvd Ste 100Marietta, GA 30060-1158
Phone 770-402-6438
Mailing address
340 Kennestone Hospital Blvd Ste 100Marietta, GA 30060-1158
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All 210 Physician Assistant providers in Marietta · All 9,180 providers in Marietta
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