Healthcare Provider Details

I. General information

NPI: 1003744772
Provider Name (Legal Business Name): AKYRAGRACE HYACINTHE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5057 BRECKENRIDGE PL APT 19
WEST PALM BEACH FL
33417-4643
US

IV. Provider business mailing address

5057 BRECKENRIDGE PL APT 19
WEST PALM BEACH FL
33417-4643
US

V. Phone/Fax

Practice location:
  • Phone: 561-485-7478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11047163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: