Organization · Type 2 NPI

Campbellton-Graceville Hospital

Family Health Clinical Nurse Specialist · Graceville, FL

NPI number 1407169733 Active

Practice location

5429 College Dr Ste B
Graceville, FL 32440-1859

Fax (850) 263-3312

Specialties and licenses

Taxonomy	Code	License
Family Health Clinical Nurse Specialist Primary	364SF0001X	None listed

Family Health Clinical Nurse Specialist: Definition to come...

Another provider at this address

Campbellton-Graceville HospitalFamily Medicine Physician Graceville, FL NPI 1154373744

NPI record

NPI: 1407169733
Entity type: Organization (Type 2)
Issued: Jul 15, 2010
Last updated: Jul 15, 2010
Status: Active
Subpart: Yes of Campbellton-Graceville Hospital

Other names

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Campbellton-Graceville Hospital Physicians' Office · doing business as

Authorized official

Mrs. Judith P Austin
Asst Administrator
(850) 263-4431

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407169733

Campbellton-Graceville Hospital's National Provider Identifier is 1407169733, issued on Jul 15, 2010. The primary taxonomy on file is Family Health Clinical Nurse Specialist (364SF0001X), and the practice location is in Graceville, FL. The record was last updated on Jul 15, 2010.