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Grace Family Practice Clinic, P.C.

Family Medicine Physician in Dyersburg, TN · enumerated 2017 · authorized official Monique Casey-Bolden, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083124671

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Registry record

Entity type Organization (Type 2)
Legal business name Grace Family Practice Clinic, P.C.
Practice address 1716 Parr Ave Ste D, Dyersburg, TN, 38024
Phone (731) 288-0911
Fax (731) 288-0065
Enumeration date Oct 9, 2017
Last updated in NPPES Oct 9, 2017

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD35727 (TN) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD25289 (TN) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APN13637 (TN) Secondary

Authorized official

Name Monique Casey-Bolden
Title President
Phone (731) 288-0911

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-10-09. Verify at npiregistry.cms.hhs.gov.
Where is Grace Family Practice Clinic, P.C. located?
The practice location on file with NPPES is in Dyersburg, TN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-09.