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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

GRACE PROVIDER SERVICES
NPI 1124949342
Nurse Practitioner - Family in Kentwood, LA

Active since July 23, 2026
365 TIGER BEND RD, KENTWOOD, LA 70444(601) 310-9340 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Provider Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE PROVIDER SERVICES (NPI 1124949342) is a healthcare organization registered as a family in Kentwood, Louisiana and active in the NPI registry since July 2026. The organization lists Jennifer Michelle Hasty, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1124949342
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRACE PROVIDER SERVICES
Location Address365 TIGER BEND RDKentwood, LA 70444-8131
Mailing Address365 Tiger Bend RdKentwood, LA 70444-8131 · (601) 310-9340
Phone(601) 310-9340
Organization SubpartNo
Authorized OfficialJennifer Michelle HastyNurse Practitioner · (601) 310-9340
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1124949342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
365 TIGER BEND RD, Kentwood, LA 70444
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Provider Services's NPI number?

The NPI number for Grace Provider Services is 1124949342. It was assigned to this organization in the NPPES registry on July 23, 2026.

Where is Grace Provider Services located?

Grace Provider Services is located at 365 Tiger Bend Rd, Kentwood, LA 70444. The listed phone number is (601) 310-9340.

What is Grace Provider Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Grace Provider Services was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.