Individual
GRACE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 CHILDRENS WAY, NASHVILLE, TN 37232-0005
(615) 936-1000
Mailing address
3225 W END CIR, NASHVILLE, TN 37203-1166
(859) 699-0290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
237602
TN
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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