Grooms, Suzanne M

Grooms, Suzanne M is an individual health care provider with primary practice located at 8035 Club Pkwy , Cordova TN 38016-5977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grooms, Suzanne M can be contacted via phone (901) 752-2300.

Contact Information

Primary practice address
8035 Club Pkwy Cordova TN 38016-5977
Fax: (901) 758-6060
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000007732 Tennessee

Profile Details

NPI number 1225297666
LBN Legal business name Grooms, Suzanne M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated May 10th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225297666 NPPES
Tennessee Other 4346669 BCBS

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