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NPI Code Detail

MEDICARE: GRACIENNE JEAN-PIERRE

MEDICARE: GRACIENNE JEAN-PIERRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNC5006141NC
2363L00000XNurse Practitioner5006141NC
3363L00000XNurse Practitioner18073SC

General Provider Information

NPI Number : 1750380192
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACIENNE JEAN-PIERRE
Provider Business Mailing Address
First Line : 1525 W W T HARRIS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-8522
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13304 LEESVILLE CHURCH RD # 5313
Second Line :
City : RALEIGH
State : NC
Zip : 27617-5206
Country : US
Telephone Number : 919-845-5276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 09/22/2021

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Directions to “ GRACIENNE JEAN-PIERRE ” Practice Location

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