Sherikee Grim
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Southaven, MS
NPI 1548096845 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1548096845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 908257 (MS)
- Practice address
- 970 Swinnea RDG Ste 1
Southaven, MS 38671-6037 - Phone
- (901) 677-3405
- NPI assigned
- Sep 12, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908257 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 908257 | MS | Yes |
Addresses
Primary practice location
970 Swinnea RDG Ste 1
Southaven, MS 38671-6037
Mailing address
PO Box 334
Shelby, MS 38774-0334
Other providers in Southaven, MS
- Allison Green
- Latonya Turner Green
- Greenbrook Physician Services, LLC
- Olivia Sanderson Gregory
- Christopher Miles Griffith
- Courtney Grimes
- Leander M Grimm
- Olivia Marie Gruver
- Porfirio Guerrero Jr.
- Christopher Gully
All providers in Southaven, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.