Organization · Type 2 NPI
Grace Provider Services
Family Nurse Practitioner · Kentwood, LA
NPI number
1124949342
Active
Practice location
365 Tiger Bend Rd
Kentwood, LA 70444-8131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Kentwood
About NPI 1124949342
Grace Provider Services's National Provider Identifier is 1124949342, issued on Jul 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kentwood, LA. The record was last updated on Jul 23, 2026.