TRACIE GRIDER

PORTSMOUTH, VA
NPI1043881956
Professional NameTRACIE GRIDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  2020146276)
Additional Taxonomies163WC0400X Registered Nurse, Case Management
(Licence: VA  0001192036)
Enumeration Date2021-07-02
Last Update Date2024-10-21
Business Address
TRACIE GRIDER PMHNP-BC
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0609
Mailing Address
TRACIE GRIDER PMHNP-BC
961 OLMSTEAD ST
CHESAPEAKE, VA 23323-1463
Phone number: 757-319-7202