Individual provider · Type 1 NPI

Misty Grove

Family Nurse Practitioner · Columbus, GA

NPI number 1689057879 Active

Practice location

2122 Manchester Expy
Columbus, GA 31904-6878

Fax (706) 596-4226

Mailing address

PO Box 8147
Columbus, GA 31908-8147

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN170056 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1689057879

Misty Grove's National Provider Identifier is 1689057879, issued on Jul 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, GA. The record was last updated on Jul 7, 2015.