Provider Demographics
NPI:1063250793
Name:GRANT, KIMESHA C (DNP, MPH, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:KIMESHA
Middle Name:C
Last Name:GRANT
Suffix:
Gender:F
Credentials:DNP, MPH, FNP-BC
Other - Prefix:
Other - First Name:KIMESHA
Other - Middle Name:
Other - Last Name:LINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1246 KENLEY SQ
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2968
Mailing Address - Country:US
Mailing Address - Phone:954-934-2346
Mailing Address - Fax:
Practice Address - Street 1:525 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2110
Practice Address - Country:US
Practice Address - Phone:410-955-4766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily