Individual
GRACE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 E BROAD ST STE 100, MANSFIELD, TX 76063-6410
(682) 518-1035
(682) 518-1045
Mailing address
2800 E BROAD ST STE 100, MANSFIELD, TX 76063-6410
(682) 518-1035
(682) 518-1045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1013114
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
1013114
TX
Other
Enumeration date
12/02/2022
Last updated
02/07/2024
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