IndividualActive
Jenna Grimm, LNP
NPI 1184936908 · Obstetrics & Gynecology Nurse Practitioner · Fairfax, VA
Provider details
- NPI number
- 1184936908
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- LNP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024168872 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10521 Rosehaven St
Suite Ll 100
Fairfax, VA 22030-2837
Phone: (703) 281-5000
Fax: (703) 281-3491
Approximate (ZIP-level) locationGet directions
Mailing address
20925 Professional Plz Ste 230
Ashburn, VA 20147-3403
Additional practice locations (1)
- 20925 Professional Plz Ste 230Ashburn, VA 20147-3403Phone: (703) 621-7121
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.