National Provider Identifier
Jaclyn M Grace
Jaclyn M Grace is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Niagara Falls, NY and a listed phone number of (716) 622-3130.
Profile Overview
- NPI
- 1629717715
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- May 27, 2022
- Last Updated
- May 27, 2022
Practice Location
- 1323 104Th St
- Niagara Falls, NY 14304-2923
Phone: (716) 622-3130
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1629717715
- Entity Type
- Individual
- Last Name
- Grace
- First Name
- Jaclyn
- Middle Name
- M
- Mailing Street Address
- 1323 104Th St
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-2923
- Mailing Country
- US
- Practice Street Address
- 1323 104Th St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-2923
- Practice Country
- US
- Practice Phone
- (716) 622-3130
- Enumeration Date
- May 27, 2022
- Last Updated
- May 27, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 27, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)