Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE NICHOLE DEYOUNG, PA-C
ActiveGRACE NICHOLE DEYOUNG, PA-C is a Physician Assistant healthcare provider located in GRANVILLE, New York. NPI 1912886755 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANVILLE, NY
Registration Details
- NPI Number
- 1912886755
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2025 (0.96508567510017 yrs)
- Last Updated
- Oct 23, 2025
- License
-
034341 (NY)
Practice Information
- Address
-
79 NORTH STREETGRANVILLE MEDICAL CENTERGRANVILLE, NY, 12832Browse NY providers · Browse ZIP 12832
- Phone
- 5186420612
- Fax
- 5186420693
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GRANVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| W MARVIN DAY | PA | 1174591796 |
| MALLORY C EDWARDS | PA-C | 1467876409 |
| MICHELLE PARBUS | — | 1952873259 |
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.