Provider Demographics
NPI:1528582061
Name:ACERO-SMITH, GRACE ELENA (MSN FNP-BC)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:ELENA
Last Name:ACERO-SMITH
Suffix:
Gender:F
Credentials:MSN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5585 CHESTATEE LANDING DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-6817
Mailing Address - Country:US
Mailing Address - Phone:678-725-5470
Mailing Address - Fax:
Practice Address - Street 1:5585 CHESTATEE LANDING DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-6817
Practice Address - Country:US
Practice Address - Phone:678-725-5470
Practice Address - Fax:678-725-5470
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN207908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily