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

Tammy M Grisham, NP-C

Individual provider Family Nurse Practitioner · NPI 1619489473

Tammy M Grisham, NP-C is a Nurse Practitioner in Port St Lucie, Florida. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

714 NW Leonardo Cir
Port St Lucie, FL 34986-4354
Phone: (954) 448-3913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 — (863) 494-1242

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9203521 (FL)

Record details

NPI number1619489473
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedNovember 1, 2017
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Port St Lucie