Individual provider · Type 1 NPI

Grace Reddick Gerlock Boerma, APN

Family Nurse Practitioner · Elizabethton, TN

NPI number 1073110243 Active

Practice location

1500 W Elk Ave
Elizabethton, TN 37643-2654

Fax (423) 722-2060

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X32013 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1073110243

Grace Reddick Gerlock Boerma, APN's National Provider Identifier is 1073110243, issued on Oct 1, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elizabethton, TN. The record was last updated on Jan 24, 2023.