Grooms, Andrea Lynne
Grooms, Andrea Lynne is an individual health care provider with primary practice located at 570 W. Sam Ridley Prkwy Suite 102, Smyrna TN 37167. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Grooms, Andrea Lynne can be contacted via phone (615) 984-2940.Contact Information
Primary practice address
570 W. Sam Ridley Prkwy Suite 102
Smyrna TN 37167
Phone: (615) 984-2940
Fax: (614) 984-2945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C5-0000860 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA051040 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5109 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA051040 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | OA003670 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5109 | Tennessee |
Profile Details
| NPI number | 1023084019 |
|---|---|
| LBN Legal business name | Grooms, Andrea Lynne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Aug 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023084019 | NPPES |
| Delaware | MEDICAID | 1023084019 |
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