# SWEET GRACE MIDWIFERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558066357
- **Authorized official:** REBECCA RAY LM (CEO)
- **Authorized official phone:** (904) 570-5792

## Contact information

- **Practice address:** 332 E 6TH ST, JACKSONVILLE, FL 32206-4614
- **Practice address phone:** (904) 570-5792
- **Mailing address:** 332 E 6TH ST, JACKSONVILLE, FL 32206-4614
- **Mailing address phone:** (904) 570-5792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2023
- **Last updated:** 04/03/2023
