Organization
GENTLE GRACE
Active
Other names
Gentle Grace
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ANN CARNOTT RN (OWNER)
(405) 517-4008
Entity
Organization
Contact information
Practice address
2216 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159-7440
(405) 691-8600
(405) 691-8601
Mailing address
2216 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159-7440
(405) 691-8600
(405) 691-8601
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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