Individual
MS. GRACE JACOBSON CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP (CERTIFIED NURSE
Contact information
Practice address
201 CEDAR ST SE S1-20, ALBUQUERQUE, NM 87106-4900
(505) 248-0000
(505) 842-0000
Mailing address
201 CEDAR ST SE S1-20, ALBUQUERQUE, NM 87106-4900
(505) 248-0000
(505) 842-0000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP-03505
NM
Other
Enumeration date
04/20/2018
Last updated
04/13/2023
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