Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grace Isabella Nelson, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1932759735

Grace Isabella Nelson, CPNP-AC is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in California and Pennsylvania.

Licensed in
CA, PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-3535
Fax: (215) 590-3992
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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 SP027380 (PA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 95012476 (CA)

Record details

NPI number1932759735
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorYes
NPI enumeratedSeptember 13, 2019
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

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