Individual provider · Type 1 NPI

Grace So

Nurse Practitioner · Columbia, MD

NPI number 1245196716 Active

Practice location

6334 Cedar Ln Ste 103
Columbia, MD 21044-4172

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	R231800 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245196716

Grace So's National Provider Identifier is 1245196716, issued on Dec 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, MD. The record was last updated on Feb 23, 2026.