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Blurred Grace Llc
Psychiatric/Mental Health Nurse Practitioner in Kentwood, Louisiana
NPI 1831842244

Blurred Grace Llc is a Psychiatric/Mental Health Nurse Practitioner based in Mccomb, LA and is specialized in Psychiatric/Mental Health. Blurred Grace Llc practices in Kentwood, LA. The NPI Number for Blurred Grace Llc is 1831842244 and holds a License No. (Louisiana).

The current practice location address for Blurred Grace Llc is 921 Avenue G, Kentwood, LA and can be reached out via phone at 985-229-0717.

Location: 921 Avenue G, Kentwood, LA, 39648-9551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831842244
Provider Name
Blurred Grace Llc
Credential
Provider Entity Type
Organization
Address
921 Avenue G, Kentwood, LA, 39648-9551
Phone Number
985-229-0717
Fax Number
Provider Enumeration Date
01/27/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
921 Avenue G
City
Kentwood
State
Louisiana
Zip
70444-2639
Phone Number
985-229-0717
Fax Number
person
Provider Business Mailing Address Details
Address
921 Avenue G
City
Kentwood
State
Louisiana
Zip
70444-2639
Phone Number
985-229-0717
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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