Healthcare Provider Details

I. General information

NPI: 1205742806
Provider Name (Legal Business Name): PROMISE NURSING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W GREEN ST
HAZLEHURST MS
39083-3009
US

IV. Provider business mailing address

PO BOX 466
HAZLEHURST MS
39083-0466
US

V. Phone/Fax

Practice location:
  • Phone: 769-364-8002
  • Fax:
Mailing address:
  • Phone: 769-364-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JASMINE TIARA GRAVES
Title or Position: OWNER
Credential: RN
Phone: 601-955-5609