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Contact Information

KELLY GRACE, CRNP
219 N WHITE HORSE PIKE
HAMMONTON, NJ08037
 Phone: 609-652-1000
 Fax: 609-441-8178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLY GRACE · (Female)

NPI # 1083443824
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/30/2024
Last updated 10/04/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NJ15144700
  • PA License # SP029843
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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