Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Haley Trivette Grimm, FNP

Individual provider Nurse Practitioner · NPI 1609759992

Haley Trivette Grimm, FNP is a Nurse Practitioner in Clemmons, North Carolina. Qualified in 2025, 1 year ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6301 Stadium Dr
Clemmons, NC 27012-8766
Phone: (336) 428-6630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5022828 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NC)

Record details

NPI number1609759992
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 26, 2025
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address6301 Stadium Dr Ste 500, Clemmons, NC 27012-8766

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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