Individual
GRACE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418-2695
(616) 222-3700
(616) 222-3707
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851121797
MI
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/15/2023
Last updated
06/25/2026
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