Individual
JUSTIN GROCE
Active
Individual
JUSTIN GROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3306523
UNITED HEALTHCARE
TN
01
—
6060213
BCBS OF TN
TN
01
—
620842749
HUMANA
TN
01
—
P01697499
R/R MEDICARE
TN
05
—
Q021233
—
TN
Enumeration date
09/21/2015
Last updated
02/13/2017
Update your record
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