Individual
GRACE CHOI CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2624 ATLANTIC BLVD, JACKSONVILLE, FL 32207-3609
(904) 513-3240
Mailing address
301 FLEA HILL PL, KINGSLAND, GA 31548-3806
(904) 528-6484
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
9203568
FL
363L00000X
Nurse Practitioner
Primary
11010536
FL
Other
Enumeration date
12/04/2020
Last updated
04/02/2021
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