Individual
JANE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2501 HOMESTEAD RD, CHAPEL HILL, NC 27516-9087
(919) 245-2400
Mailing address
3070 11TH AVENUE DR SE, HICKORY, NC 28602-8336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004382
NC
Other
Enumeration date
05/27/2009
Last updated
08/04/2020
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