Individual
GRACE A FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1474 TANYARD ROAD, SUITE C100, SEWELL, NJ 08080
(856) 932-7476
(856) 566-6320
Mailing address
1474 TANYARD ROAD, SUITE C100, SEWELL, NJ 08080-1573
(856) 932-7476
(856) 566-6320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00723400
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00723400
NJ
Other
Enumeration date
08/17/2017
Last updated
09/10/2024
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