Individual
ANGELICA ROSE GRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0004
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
(828) 301-8565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6520
TN
Other
Enumeration date
04/04/2025
Last updated
07/11/2025
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