Misaki, Grace I.

Misaki, Grace I. is an individual health care provider with primary practice located at 4285 Jim Moore Rd Ste 200 , Dacula GA 30019-1551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Misaki, Grace I. can be contacted via phone (770) 442-1911.

Contact Information

Primary practice address
4285 Jim Moore Rd Ste 200 Dacula GA 30019-1551
Phone: (770) 442-1911
Fax: (707) 442-0306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN098265 Georgia

Profile Details

NPI number 1558340349
LBN Legal business name Misaki, Grace I.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated May 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558340349 NPPES
Georgia MEDICAID 000852057E

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