Adams, Gracie

Adams, Gracie is an individual health care provider with primary practice located at 3804 S Jackson Rd Ste 1 , Edinburg TX 78539-6681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Adams, Gracie can be contacted via phone (956) 296-3001.

Contact Information

Primary practice address
3804 S Jackson Rd Ste 1 Edinburg TX 78539-6681
Fax: (956) 296-3000
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP141842 Texas

Profile Details

NPI number 1215583430
LBN Legal business name Adams, Gracie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated May 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215583430 NPPES
Texas Other H08LR79201 BCBS
Texas MEDICAID 4025512-01 BCBS

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