person
Amy Louise Grube, FNP
Family Nurse Practitioner in Jackson, Ohio
NPI 1992955314

Amy Louise Grube is a Family Nurse Practitioner based in Gallipolis, OH and is specialized in Family. Amy Louise Grube practices in Jackson, OH and has the professional credentials of FNP. The NPI Number for Amy Louise Grube is 1992955314 and holds a License No. 10237 (Ohio).

The current practice location address for Amy Louise Grube is 280 Pattonsville Rd, Jackson, OH and can be reached out via phone at 740-395-8677 and via fax at 740-395-8834.

Location: 280 Pattonsville Rd, Jackson, OH, 45631-1560
person
Provider Profile Details
NPI Number
1992955314
Provider Name
Amy Louise Grube
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
280 Pattonsville Rd, Jackson, OH, 45631-1560
Phone Number
740-395-8677
Fax Number
740-395-8834
Provider Enumeration Date
09/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310917085217 01 OH OHIO MEDICAID CARESOURCE
P00781887 01 OH RR MEDICARE
2878444 01 OH OHIO MEDICAID MOLINA
2878444 05 OH
3810016002 05 WV
282601 01 OH OHIO MEDICAID UNISON
institution
Provider Business Practice Location Address Details
Address
280 Pattonsville Rd
City
State
Zip
45640-9452
Phone Number
740-395-8677
Fax Number
740-395-8834
person
Provider Business Mailing Address Details
Address
280 Pattonsville Rd
City
State
Zip
45640-9452
Phone Number
740-395-8677
Fax Number
740-395-8834
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10237 (West Virginia)
Definition
Definition to come...
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