Individual provider · Type 1 NPI
Tracie Grider, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portsmouth, VA
NPI number
1043881956
Active
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
961 Olmstead St
Chesapeake, VA 23323-1463
Other practice locations
- 961 Olmstead St, Chesapeake, VA 23323-1463 · (786) 755-1863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 0001192036 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2020146276 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043881956
Tracie Grider, PMHNP-BC's National Provider Identifier is 1043881956, issued on Jul 2, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portsmouth, VA. The record was last updated on Oct 21, 2024.