Active NPIIndividual provider

Stacy Grace, APN

Nurse Practitioner in Haddon Heights, New Jersey

NPI Number1043514805
Practice location
120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938
Fax
—
Last updated
January 18, 2012

Stacy Grace is a Nurse Practitioner based in Haddon Heights, NJ. Stacy Grace practices in Haddon Heights, NJ and has the professional credentials of APN. The NPI Number for Stacy Grace is 1043514805 and holds a License No. 26NO08583700 (NJ). The current practice location address for Stacy Grace is 120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938 and can be reached out via phone at 856-546-3900.

Provider Profile Details

NPI Number
1043514805
Provider Name
Stacy Grace
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938
Phone Number
856-546-3900
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
January 7, 2011
Last Update Date
January 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 White Horse Pike
Suite 103
Haddon Heights, NJ 08035-1938
Zip
08035-1938
Phone Number
856-546-3900
Haddon Heights, NJ 08035Get directions →

Provider Business Mailing Address Details

Address
500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
City
Haddon Heights
State
NJ
Zip
08035-1761
Phone Number
865-796-9207
Fax Number
856-796-9397

License Information

License Number (1)
26NO08583700
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NN08583700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy Grace, APN?

The NPI number of Stacy Grace, APN is 1043514805. It was assigned on January 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Stacy Grace, APN?

Stacy Grace, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NO08583700.

Where does Stacy Grace, APN practice?

The practice location is 120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938. The office can be reached at 856-546-3900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043514805 directly on the NPPES registry website.

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