Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Family Practice Clinic, PC

Organization Family Medicine Physician · NPI 1083124671

Grace Family Practice Clinic, PC is a Family Medicine Physician in Dyersburg, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1716 Parr Ave Ste D
Dyersburg, TN 38024-2074
Phone: (731) 288-0911
Fax: (731) 288-0065
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD35727 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD25289 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN13637 (TN)

Record details

NPI number1083124671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Casey-Bolden — President · (731) 288-0911
NPI enumeratedOctober 9, 2017
Last updated in NPPESOctober 9, 2017
Mailing address1716 Parr Ave Ste D, Dyersburg, TN 38024-2074

Other providers in Dyersburg