NPI 1215255591

Lisa C Gronberg, PAC

Practitioner Physician Assistant Mount Juliet, TN

Practice location

Address: 325 Old Pleasant Grove Rd, Mount Juliet, TN 37122-4493
Phone: (629) 255-2134
Fax: (629) 255-4156
Mailing address: 222 22nd Ave N, Nashville, TN 37203-1852

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1793 (TN)

Other Physician Assistant providers in Tennessee →

Registry record

NPI: 1215255591
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2010
Record last updated: 20 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.