Organization
GRACE FAMILY CLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRL LYNN FELDER DNP, APRN, FNP-BC (MANAGER/OWNER)
(281) 208-2220
Entity
Organization
Contact information
Practice address
103 1/2 WHITE ST, HAMMOND, LA 70403-4857
(281) 208-2220
(281) 208-2225
Mailing address
22450 BALMORAL DR, DENHAM SPRINGS, LA 70726-8828
(281) 208-2220
(281) 208-2220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326372087
—
TX
Enumeration date
06/06/2017
Last updated
03/15/2026
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