GRACE MEDICAL LLC NPI 1811656820

NPI Information

  • NPI: 1811656820
  • Provider Name: GRACE MEDICAL LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5444 ELYSIAN FIELDS AVE
    NEW ORLEANS, LA
    ZIP 70122
  • Phone: (504) 539-8364

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NPI Details

GRACE MEDICAL LLC is a psychiatric/mental health nurse practitioner in New Orleans, LA. GRACE MEDICAL LLC NPI is 1811656820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5444 ELYSIAN FIELDS AVE
NEW ORLEANS, LA
ZIP 70122-222
Phone: (504) 539-8364
Fax: (504) 226-0892

The provider's authorized official is Mikshira Marie Mosely .
The authorized official title is Owner and has the following contact phone number (504) 376-4017.

The enumeration date for this NPI number is 12/17/2021 and was last updated on 10/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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