Organization
GRACE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA DOUGLAS NP (CO-OWNER)
(615) 878-6406
Entity
Organization
Contact information
Practice address
107 IMPERIAL BLVD STE 5, HENDERSONVILLE, TN 37075-3492
(615) 757-6787
(615) 378-3606
Mailing address
107 IMPERIAL BLVD STE 5, HENDERSONVILLE, TN 37075-3492
(615) 757-6787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
05/22/2023
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