Individual
MR. JUSTIN LEE GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
928 SYCAMORE ST, ROCKPORT, IN 47635-9283
(812) 408-3265
(812) 780-2730
Mailing address
221 MAIN ST, GRANDVIEW, IN 47615-9469
(812) 408-3265
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010999A
IN
Other
Enumeration date
11/23/2020
Last updated
05/30/2025
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