Individual
ALISSA GRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W MITCHELL ST STE M40, PETOSKEY, MI 49770-2278
(231) 487-2391
Mailing address
560 W MITCHELL ST STE M40, PETOSKEY, MI 49770-2278
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704259828
MI
Other
Enumeration date
10/16/2018
Last updated
07/10/2025
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