Individual
GRACIENNE JEAN-PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13304 LEESVILLE CHURCH RD # 5313, RALEIGH, NC 27617-5206
(919) 845-5276
Mailing address
1525 W W T HARRIS BLVD, CHARLOTTE, NC 28262-8522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18073
SC
363L00000X
Nurse Practitioner
Primary
5006141
NC
363LF0000X
Family Nurse Practitioner
NC5006141
NC
Other
Enumeration date
07/19/2005
Last updated
09/22/2021
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