Individual
GRACE ANN GLASSCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1050 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2958
(205) 759-7953
Mailing address
15229 LAKE PAYNE RD, DUNCANVILLE, AL 35456-1241
(205) 393-7241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-183331
AL
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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