Overview
Name: SOUTHERN GRACE HEALTHCARE INC.
Specialty: Family Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Family.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: SOUTHERN GRACE HEALTHCARE INC.,820 S LOCUST ST,ASHDOWN,AR,718224347,US
Mailing Address: SOUTHERN GRACE HEALTHCARE INC.,820 S LOCUST ST,ASHDOWN,AR,718224347,US
Contact #
Practice location phone #: 8708984576
Practice location fax #: 8704554484
Mailing address Phone #:
Mailing Address fax #:
Authorized official Name/Telephone #:ALEXANDRIA, DAVIS, OWNER 8708984576
Misc
Date NPI was obtained: 09/20/2021
Last data data was updated: 10/14/2021
Insurances: