Active NPIIndividual providerSole proprietor

Kelly Grace, CRNP

Nurse Practitioner, Family in Hammonton, New Jersey

NPI Number1083443824
Practice location
219 N White Horse Pike, Hammonton, NJ 08037
Fax
609-441-8178
Last updated
October 4, 2024

Kelly Grace is a Nurse Practitioner, Family based in Hammonton, NJ. Kelly Grace practices in Hammonton, NJ and has the professional credentials of CRNP. The NPI Number for Kelly Grace is 1083443824 and holds a License No. sp029843 (PA). The current practice location address for Kelly Grace is 219 N White Horse Pike, Hammonton, NJ 08037 and can be reached out via phone at 609-652-1000 and via fax at 609-441-8178.

Provider Profile Details

NPI Number
1083443824
Provider Name
Kelly Grace
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
219 N White Horse Pike, Hammonton, NJ 08037
Phone Number
609-652-1000
Fax Number
609-441-8178
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
July 30, 2024
Last Update Date
October 4, 2024
Certification Date
October 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
219 N White Horse Pike
Hammonton, NJ 08037
Zip
08037
Phone Number
609-652-1000
Fax Number
609-441-8178
Hammonton, NJ 08037Get directions →

Provider Business Mailing Address Details

Address
219 N White Horse Pike
Hammonton, NJ 08037-1896
City
Hammonton
State
NJ
Zip
08037-1896
Phone Number
609-652-1000
Fax Number
609-441-8178

License Information

License Number (1)
sp029843
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NJ15144700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Kelly Grace, CRNP?

The NPI number of Kelly Grace, CRNP is 1083443824. It was assigned on July 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Kelly Grace, CRNP?

Kelly Grace, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number sp029843.

Where does Kelly Grace, CRNP practice?

The practice location is 219 N White Horse Pike, Hammonton, NJ 08037. The office can be reached at 609-652-1000 (phone) or 609-441-8178 (fax).

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 1083443824 directly on the NPPES registry website.

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