Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Myranda Grace

Individual provider Licensed Practical Nurse · NPI 1528924214

Myranda Grace is a Licensed Practical Nurse in Rex, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

3800 Augustine Pl
Rex, GA 30273-5822
Phone: (813) 727-9377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN105798 (GA)

Record details

NPI number1528924214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 26, 2025
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025
Mailing address3800 Augustine Pl, Rex, GA 30273-5822

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