Individual
JEFFLY GLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Mailing address
7440 N KENDALL DR APT 3523, MIAMI, FL 33156-8083
(786) 780-4582
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
APRN11018879
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APRN11018879
FL
Other
Enumeration date
04/21/2022
Last updated
04/23/2025
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