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MARISSA LYNN GROSECLOSE
NPI 1972438596
Licensed Practical Nurse in Princeton, WV

Active since June 15, 2026
200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Lynn Groseclose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA LYNN GROSECLOSE (NPI 1972438596) is an individual licensed practical nurse in Princeton, West Virginia, licensed in West Virginia (40699) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1972438596
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARISSA LYNN GROSECLOSE
Location Address200 12TH STREET EXTPrinceton, WV 24740-2398
Mailing Address2610 Cliffmont AveBluefield, WV 24701-5016 · (304) 425-9541
Phone(304) 425-9541
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1972438596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WV · 40699
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
200 12TH STREET EXT, Princeton, WV 24740
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY MCGEE PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
DIANNA MICHELLE CANTRELL RBA, MS
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 436-2107
MICHAEL MEADOWS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
CHRIS WILLIAMS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
AMY ENGLAND
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
MICHELLE COOPER
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (276) 722-2662
MICHAEL HOLMES PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
JABEZ R ANDERSON BA, BSPI
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Groseclose's NPI number?

The NPI number for Marissa Groseclose is 1972438596. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Marissa Groseclose located?

Marissa Groseclose practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.

What is Marissa Groseclose's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marissa Groseclose was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.