FLORENCE MEDICAL GROUP PSC NPI 1821033499

NPI Information

  • NPI: 1821033499
  • Provider Name: FLORENCE MEDICAL GROUP PSC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 18D1000645
  • Address: 8731 BANKERS STREET UNIT A
    FLORENCE, KY
    ZIP 41042
  • Phone: (859) 282-8840

Map and Directions

Get Directions

NPI Details

FLORENCE MEDICAL GROUP PSC is a primary care nurse practitioner in Florence, KY. FLORENCE MEDICAL GROUP PSC NPI is 1821033499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8731 BANKERS STREET UNIT A
FLORENCE, KY
ZIP 41042-240
Phone: (859) 282-8840
Fax: (859) 282-8830

The provider's authorized official is Jeanne Gripshover .
The authorized official title is New Owner/administrator/np and has the following contact phone number (859) 282-8840.

The CLIA number assigned to this NPI record is 18D1000645 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 4/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinicalNo
3207R00000XInternal MedicineNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LF0000XNurse PractitionerFamilyNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
7363LP2300XNurse PractitionerPrimary CareYes
8363LW0102XNurse PractitionerWomen's HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100236850MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI