Individual
MRS. ALICIA ROSE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
990 ELLISTON WAY, SUITE 100, GRACE PEDIATRICS, PLLC, THOMPSONS STATION, TN 37179
(615) 550-5221
(615) 550-5226
Mailing address
1335 ROCK SPRINGS RD, SUITE 100, SMYRNA, TN 37167-6108
(615) 459-5252
(615) 550-5226
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000012304
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000167
—
TN
Enumeration date
04/29/2008
Last updated
02/24/2017
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