Organization · Type 2 NPI
Her Blooming Grace, LLC
Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI number
1063324523
Active
Practice location
6433 Clover Trace Cir
Louisville, KY 40216-4084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063324523
Her Blooming Grace, LLC's National Provider Identifier is 1063324523, issued on Sep 21, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Louisville, KY. The record was last updated on Sep 21, 2026.