Boerma, Grace Reddick Gerlock

Boerma, Grace Reddick Gerlock is an individual health care provider with primary practice located at 1500 W Elk Ave , Elizabethton TN 37643-2654. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boerma, Grace Reddick Gerlock can be contacted via phone (423) 543-2584.

Contact Information

Primary practice address
1500 W Elk Ave Elizabethton TN 37643-2654
Phone: (423) 543-2584
Fax: (423) 722-2060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 32013 Tennessee

Profile Details

NPI number 1073110243
LBN Legal business name Boerma, Grace Reddick Gerlock
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2020
Last updated Jan 24th, 2023 - about last year

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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