Individual provider · Type 1 NPI

Shannon Grose, NP

Family Nurse Practitioner · Charleston, WV

NPI number 1629552799 Active

Practice location

4602 Maccorkle Ave SE
Charleston, WV 25304-1848

Call (304) 205-7535 Map

Fax (304) 205-7549

Mailing address

104 Alex Ln
Charleston, WV 25304-2952

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	CNP181231 (ME)
Family Nurse Practitioner Primary	363LF0000X	114025 (WV)

Family Nurse Practitioner: Definition to come...

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Abbey Rae Moore, NPFamily Nurse Practitioner Charleston, WV NPI 1154165678
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Bernadette Luby, PA-CPhysician Assistant Charleston, WV NPI 1982390282
Brandi Kay Ferrell, FNP-BCFamily Medicine Physician Charleston, WV NPI 1528842648
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Corey Wilks, PSY.D.Clinical Psychologist Charleston, WV NPI 1962006882

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About NPI 1629552799

Shannon Grose, NP's National Provider Identifier is 1629552799, issued on Sep 24, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, WV. The record was last updated on Jun 14, 2023.