GRACE ADVANCED WELLNESS, LLC

HOHENWALD, TN
NPI1104536580
Entity TypeOrganization
Authorized ContactSUSAN HENSLEY
Owner/Provider
931-295-3547
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
367A00000X Advanced Practice Midwife
Enumeration Date2022-11-28
Last Update Date2022-11-28
Business Address
GRACE ADVANCED WELLNESS, LLC
543 E MAIN ST
HOHENWALD, TN 38462-2007
Phone number: 931-295-3547
Mailing Address
GRACE ADVANCED WELLNESS, LLC
543 E MAIN ST
HOHENWALD, TN 38462-2007
Phone number: 931-295-3547