Organization · Type 2 NPI
Excelsior Grace LLC
Psychiatric/Mental Health Nurse Practitioner · Plainfield, NJ
NPI number
1649149238
Active
Practice location
959 W 4th St
Plainfield, NJ 07063-1372
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 1649149238
Excelsior Grace LLC's National Provider Identifier is 1649149238, issued on Nov 1, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Plainfield, NJ. The record was last updated on Nov 4, 2025.