Organization · Type 2 NPI
Homegrown Pediatrics LLC
Pediatric Nurse Practitioner · Rogersville, AL
NPI number
1780504282
Active
Practice location
1955 Lee Street
Rogersville, AL 35652
Mailing address
227 Meadow Ln
Rogersville, AL 35652-3733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1780504282
Homegrown Pediatrics LLC's National Provider Identifier is 1780504282, issued on Jul 16, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rogersville, AL. The record was last updated on Jul 16, 2026.