Individual
DR. JESSIE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7796 WOLF TRAIL CV, GERMANTOWN, TN 38138
(901) 751-0939
Mailing address
4196 OAK RD, MEMPHIS, TN 38135-1872
(901) 512-3966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000023224
TN
Other
Enumeration date
12/05/2017
Last updated
07/16/2018
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