Provider Demographics
NPI:1740649896
Name:APPLEWHITE, GRACE COX (FNP-C)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:COX
Last Name:APPLEWHITE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 KNIGHTS CV W
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-4444
Mailing Address - Country:US
Mailing Address - Phone:601-540-7042
Mailing Address - Fax:
Practice Address - Street 1:1201 HIGHWAY 49 S STE 1
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9438
Practice Address - Country:US
Practice Address - Phone:601-973-1576
Practice Address - Fax:601-664-0055
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS805476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily