MRS. VICKY NELL GROCE (NPI# 1922215128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922215128 |
Entity Type | Individual |
Full Name | MRS. VICKY NELL GROCE |
Credential | CFNP |
Practice Address |
212 South Public Square Petersburg TN 37144-0093 |
Mailing Address |
1005 Covemont Dr Fayetteville TN 37334-2284 |
Practice Telephone | 9316596337 |
Mailing Telephone | 9314380687 |
Mailing Fax Number | 9314387456 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000005895 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
212 SOUTH PUBLIC SQUARE |
City | PETERSBURG |
State | TN |
Zip Code | 37144-0093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568596021 | Tami Slayton | Acupuncturist | 212 South Side Square, Petersburg, TN 37144 | 2007-03-15 |
1013330307 | Allison Lamb | Physical Therapist | 24 Whippoorwill Ln, Petersburg, TN 37144-7757 | 2014-01-23 |
1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174124663 | Vets Aide | Home Health Aide | 49 Walnut Blvd, Petersburg, VA 23805-2109 | 2020-11-03 |
1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
1740889872 | Tandrea Graham | Community Health Worker | 628 Old Wagner Rd, Petersburg, VA 23805-9319 | 2020-10-20 |
1235738394 | Hl Transportation Services LLC | Non-emergency Medical Transport (VAN) | 210 Walnut Blvd Apt 19, Petersburg, VA 23805-2054 | 2020-10-20 |
1265030217 | Alisha Rose Powell | Technician | 216 Clifftop Dr Apt 84, Petersburg, WV 26847-8893 | 2020-10-13 |
1063010155 | Kourtney Hendricks | Home Health Aide | 1641 Darby Dr, Petersburg, VA 23803-5331 | 2020-10-12 |
1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
1174130397 | Upscale Home Care, LLC | Home Health | 325 Brown St Ste 131, Petersburg, VA 23803-4234 | 2020-09-30 |
1295341675 | Logan Mackenzie Willis | Technician | 216 Clifftop Dr Apt 86, Petersburg, WV 26847-8893 | 2020-09-21 |
1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
Find all providers in PETERSBURG |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
1992269286 | Angela Hooe | Nurse Practitioner | 601 Old Wagner Rd Ste 100, Petersburg, VA 23805-9313 | 2019-01-30 |
1902390982 | Haneefah Omega Henry Rhodes | Nurse Practitioner | Vsu Health Center 1 Hayden Dr, Petersburg, VA 23806-0001 | 2018-06-21 |
1265936454 | Angela Marie Jeter | Nurse Practitioner | 3471 Woolper Rd, Petersburg, KY 41080-9764 | 2018-03-21 |
1205347846 | Bethany Kinney | Nurse Practitioner | 4100 W Rauch Rd, Petersburg, MI 49270-9800 | 2017-10-23 |
1801244165 | Tonya Shah | Nurse Practitioner | 601 Old Wagner Rd Ste 101, Petersburg, VA 23805-9313 | 2016-05-27 |
1801146071 | Melissa Lee Mathias | Nurse Practitioner | 10 Mulligan Drive, Petersburg, WV 26847-1511 | 2012-09-14 |
1548411879 | Lynette Galloway Branch | Nurse Practitioner | Virginia State University Student Health, 1 Hayden Drive, Petersburg, VA 23806-0001 | 2008-10-06 |
1134298995 | Becky J Calhoun Harman | Nurse Practitioner | 100 Hospital Dr Ste 1, Petersburg, WV 26847 | 2006-11-07 |
1184605321 | Hannelore Barbara Mancil | Nurse Practitioner | 1730 Arch St, Petersburg, VA 23805-1620 | 2005-11-07 |
Find all providers in PETERSBURG |
City | PETERSBURG |
Zip Code | 37144 |
Please comment or provide details below to improve the information on MRS. VICKY NELL GROCE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.