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Grace Reddick Gerlock Boerma, APN
Family Nurse Practitioner in Elizabethton, Tennessee
NPI 1073110243

Grace Reddick Gerlock Boerma is a Family Nurse Practitioner based in Elizabethton, TN and is specialized in Family. Grace Reddick Gerlock Boerma practices in Elizabethton, TN and has the professional credentials of APN. The NPI Number for Grace Reddick Gerlock Boerma is 1073110243 and holds a License No. (Tennessee).

The current practice location address for Grace Reddick Gerlock Boerma is 1500 W Elk Ave, Elizabethton, TN and can be reached out via phone at 423-543-2584 and via fax at 423-722-2060.

Location: 1500 W Elk Ave, Elizabethton, TN, 37643-2654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073110243
Provider Name
Grace Reddick Gerlock Boerma
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1500 W Elk Ave, Elizabethton, TN, 37643-2654
Phone Number
423-543-2584
Fax Number
423-722-2060
Provider Enumeration Date
10/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 W Elk Ave
City
Elizabethton
State
Tennessee
Zip
37643-2654
Phone Number
423-543-2584
Fax Number
423-722-2060
person
Provider Business Mailing Address Details
Address
1500 W Elk Ave
City
Elizabethton
State
Tennessee
Zip
37643-2654
Phone Number
423-543-2584
Fax Number
423-722-2060
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
32013 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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