Grace Provider Services
Grace Provider Services provides Family Nurse Practitioner services in Kentwood, Louisiana. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
365 Tiger Bend RdKentwood, LA 70444-8131
Phone: (601) 310-9340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1124949342 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Hasty — Nurse Practitioner · (601) 310-9340 |
| NPI enumerated | July 23, 2026 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
| Mailing address | 365 Tiger Bend Rd, Kentwood, LA 70444-8131 |
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