NPI 1013156132

Baserine C. Grace, LPN

Practitioner Licensed Practical Nurse Dublin, GA

Practice location

Address: 2121a Bellevue Rd, Dublin, GA 31021-2998
Phone: (478) 272-1190

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN024259 (GA)

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Registry record

NPI: 1013156132
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2009
Record last updated: 12 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.