Webb, Alicia Rose

Webb, Alicia Rose is an individual health care provider with primary practice located at 990 Elliston Way, Suite 100 Grace Pediatrics, Pllc, Thompsons Station TN 37179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Webb, Alicia Rose can be contacted via phone (615) 550-5221.

Contact Information

Primary practice address
990 Elliston Way, Suite 100 Grace Pediatrics, Pllc Thompsons Station TN 37179
Phone: (615) 550-5221
Fax: (615) 550-5226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000012304 Tennessee

Profile Details

NPI number 1669647756
LBN Legal business name Webb, Alicia Rose
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Feb 24th, 2017 - about 9 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 1669647756 NPPES
Tennessee MEDICAID Q000167

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