Gracia, Carolyn M

Gracia, Carolyn M is an individual health care provider with primary practice located at 51 N Dunlap St , Memphis TN 38105-4625. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gracia, Carolyn M can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
51 N Dunlap St Memphis TN 38105-4625
Phone: (901) 287-7337
Fax: (901) 387-5151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X ARNP9206478 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9206478 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 28797 Tennessee

Profile Details

NPI number 1770557423
LBN Legal business name Gracia, Carolyn M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Apr 7th, 2021 - 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 1770557423 NPPES
Tennessee MEDICAID Q064647
Tennessee MEDICAID 018868100

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