Organization · Type 2 NPI

Grace Divine, LLC

Family Medicine Physician · Indianapolis, IN

NPI number 1548596372 Active

Practice location

8900 Keystone Xing Ste 540
Indianapolis, IN 46240-2130

Fax (317) 800-7730

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X38836 (KY)
General Practice Physician 208D00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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About NPI 1548596372

Grace Divine, LLC's National Provider Identifier is 1548596372, issued on Oct 29, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 11, 2026.