Individual
STEPHANIE GRACIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9292259
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9292259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016194600
—
FL
01
—
8WLBJ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/11/2015
Last updated
08/04/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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