Provider Demographics
NPI:1508542077
Name:PEARCE, GRACE (DNP, PMHNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:PEARCE
Suffix:
Gender:
Credentials:DNP, PMHNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 NEUSE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-6604
Mailing Address - Country:US
Mailing Address - Phone:239-898-0783
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTHTOWN CIR
Practice Address - Street 2:
Practice Address - City:ROLESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27571-9573
Practice Address - Country:US
Practice Address - Phone:919-429-8256
Practice Address - Fax:919-429-8268
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019412363LP0808X
FLAPRN11027155363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health