Grider, Tracie

Grider, Tracie is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Grider, Tracie can be contacted via phone (757) 953-0609.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Phone: (757) 953-0609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 0001192036 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2020146276 Virginia

Profile Details

NPI number 1043881956
LBN Legal business name Grider, Tracie
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2021
Last updated Oct 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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