Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Primary Care PLLC

Organization Family Nurse Practitioner · NPI 1679058804

Grace Primary Care PLLC is a Family Nurse Practitioner in Crestwood, Kentucky. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6520 W Highway 22
Crestwood, KY 40014
Phone: (502) 241-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6520 W Highway 22, Crestwood, KY 40014 — (502) 241-8488

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1679058804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renu George — Owner · (502) 241-8488
NPI enumeratedOctober 3, 2018
Last updated in NPPESJune 11, 2019
Mailing address6520 W Highway 22, Crestwood, KY 40014-9305

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