Grace, Justin Charles

Grace, Justin Charles is an sole proprietor health care provider with primary practice located at 11027 S Pikes Peak Dr Ste 105 , Parker CO 80138-7361. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Grace, Justin Charles can be contacted via phone (303) 351-2202.

Contact Information

Primary practice address
11027 S Pikes Peak Dr Ste 105 Parker CO 80138-7361
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1679432 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0999501 Colorado

Profile Details

NPI number 1730957903
LBN Legal business name Grace, Justin Charles
Credentials MSN-ED, APRN, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2023
Last updated Feb 8th, 2024 - about 9 months 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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