| NPI | 1497217145 |
|---|---|
| Doing Business As | GRACE AND JOY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JEREMIAH SISAY Owner 972-288-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-01-29 |