MEDICARE: KISMET DIVINE HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1346195898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KISMET DIVINE HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	110 CASCADE RD
Second Line	:
City	:	RAYNE
State	:	LA
Zip	:	70578-2543
Country	:	US
Telephone Number	:	832-492-3247
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 N LEWIS ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-2840
Country	:	US
Telephone Number	:	832-492-3247
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GABRIELLA JONES DE'LAY
Credential	:	FNP-C
Telephone Number	:	832-492-3247

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “KISMET DIVINE HEALTHCARE SERVICES ” Practice Location

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