Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACIOUS JOHN, PA
ActiveGRACIOUS JOHN, PA is a Physician Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1285996314 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHARLOTTE, NC
Registration Details
- NPI Number
- 1285996314
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2012 (14.151205039606 yrs)
- Last Updated
- Oct 26, 2020
- Licenses
-
0160607 (NY)0010-09395 (NC)
Practice Information
- Address
-
8450 PARK RDCHARLOTTE, NC, 282105801Browse NC providers · Browse ZIP 28210
- Phone
- 9803080143
- Fax
- 9803080142
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER MARIE HULL | PA-C | 1437154093 |
| MS. JENNIFER ANN FARRES | PA-C | 1598763054 |
| LAWRENCE HENRY BRACCIA | PA-C | 1700885514 |
| MR. JONATHAN ROBERT BALTZELL | PA-C | 1457350258 |
| KEVIN ROLANDO WILLIAMS | PA | 1053312082 |
| MRS. KELLY L. STAFFORD | PA-C | 1184626806 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.