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Grace Ellen Davis, APRN
Family Nurse Practitioner in Edgewater, Florida
NPI 1376181057

Grace Ellen Davis is a Family Nurse Practitioner based in Edgewater, FL and is specialized in Family. Grace Ellen Davis practices in Edgewater, FL and has the professional credentials of APRN. The NPI Number for Grace Ellen Davis is 1376181057 and holds a License No. 236330 (Florida).

The current practice location address for Grace Ellen Davis is 2984 S Ridgewood Ave Ste A, Edgewater, FL and can be reached out via phone at 386-428-4640.

Location: 2984 S Ridgewood Ave Ste A, Edgewater, FL, 32141-7515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376181057
Provider Name
Grace Ellen Davis
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2984 S Ridgewood Ave Ste A, Edgewater, FL, 32141-7515
Phone Number
386-428-4640
Fax Number
Provider Enumeration Date
12/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2984 S Ridgewood Ave Ste A
City
Edgewater
State
Florida
Zip
32141-7515
Phone Number
386-428-4640
Fax Number
person
Provider Business Mailing Address Details
Address
2984 S Ridgewood Ave Ste A
City
Edgewater
State
Florida
Zip
32141-7515
Phone Number
386-428-4640
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
11004464 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
236330 (South Carolina)
Definition
Definition to come...
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