Individual
MRS. GRACE WEGENER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- C
Contact information
Practice address
8000 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1755
(901) 747-3630
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
33239
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q081354
—
TN
Enumeration date
03/14/2023
Last updated
02/10/2026
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