Organization · Type 2 NPI

Blurred Grace LLC

Psychiatric/Mental Health Nurse Practitioner · Kentwood, LA

NPI number 1831842244 Active

Practice location

921 Avenue G
Kentwood, LA 70444-2639

Mailing address

1054 Hawthorne Dr
Mccomb, MS 39648-9551

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1831842244

Blurred Grace LLC's National Provider Identifier is 1831842244, issued on Jan 27, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kentwood, LA. The record was last updated on Jan 27, 2022.