MEDICARE: DR. KIMBERLY LYNN GRUBBS DNP FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1184003	TX

General Provider Information

NPI Number	:	1508671942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY LYNN GRUBBS DNP FNP-C

Provider Business Mailing Address
First Line	:	13310 BEAMER RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13310 BEAMER RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6045
Country	:	US
Telephone Number	:	832-879-2942
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	12/04/2025

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