Grace Pediatrics Pl
Grace Pediatrics Pl is a Pediatric Nurse Practitioner in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
4196 W US Highway 90 Ste 105Lake City, FL 32055-8834
Phone: (386) 243-8474
Fax: (386) 438-5945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 2667852 (FL) |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence 9220069 (FL) |
Record details
| NPI number | 1720362429 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Colleen Thompson — Manager/Arnp/Co-Owner · (386) 243-8474 |
| NPI enumerated | September 29, 2011 |
| Last updated in NPPES | February 19, 2014 |
| Mailing address | 4196 W Us Highway 90, Suite 105, Lake City, FL 32055-8834 |
Other providers in Lake City
-
Jourdan Ashley Clum, ARNP
1859 SW Newland Way, Lake City, FL 32025-6966 · (386) 758-0003
-
Jamilyn Vaughn Jordan, MSN, ARNP, PNP-PC
1140 SW Bascom Norris Dr Ste 104, Lake City, FL 32025-1329 · (386) 719-6500
-
Lorielle Manning Lang, APRN
1140 SW Bascom Norris Dr Ste 104, Lake City, FL 32025-1329 · (386) 719-6500
-
Samantha Lawrence, ARNP, PNP-PC
1140 SW Bascom Norris Dr Ste 104, Lake City, FL 32025-1329 · (386) 719-6500
-
Whitney Amanda McFatter
285 NW Outlaw Country Gln, Lake City, FL 32055-9212 · (386) 515-5539