MEDICARE: MOUNTAIN VALLEY HEALTH & WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	261QH0100X	Health Service Clinic/Center
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1376496547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VALLEY HEALTH & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	1600 N COALTER ST STE 301
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-2566
Country	:	US
Telephone Number	:	540-324-3836
Fax Number	:	502-237-9908

Provider Business Practice Location Address
First Line	:	1600 N COALTER ST STE 301
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-2566
Country	:	US
Telephone Number	:	540-324-3836
Fax Number	:	502-237-9908

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	JACQUELINE L GROFF
Credential	:	FNP-C
Telephone Number	:	540-294-4305

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	03/04/2026

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