Individual
SHIANNE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 WOOD RD, SOUTH YARMOUTH, MA 02664-4228
(508) 292-6730
Mailing address
168 WOOD RD, SOUTH YARMOUTH, MA 02664-4228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11012808
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11012808
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2359760
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2020
Last updated
04/15/2026
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