Provider Demographics
NPI:1487235354
Name:GRIMSLEY, LEEKIESHIA DYONNE (NP)
Entity type:Individual
Prefix:
First Name:LEEKIESHIA
Middle Name:DYONNE
Last Name:GRIMSLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8735 DUNWOODY PL # 11037
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-2995
Mailing Address - Country:US
Mailing Address - Phone:470-873-9555
Mailing Address - Fax:470-222-2761
Practice Address - Street 1:8735 DUNWOODY PL # 11037
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:470-873-9555
Practice Address - Fax:470-222-2761
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN312959363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner