JENNIFER GRAVES – NPI #1639682057
Nurse Practitioner

JENNIFER GRAVES is a nurse practitioner located in SANTA MARIA, CA. NPPES has assigned the NPI number 1639682057 to JENNIFER GRAVES on November 07, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 7 years ago on Mar 21, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER GRAVES below.

NPI Profile for
JENNIFER GRAVES

NPI Number
1639682057
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER GRAVES
Primary location
220 S PALISADE DR STE 203
SANTA MARIA, CA 93454
Phone: (805) 354-7101 Fax: (805) 354-7102
1 Other location(s):
10 Santa Rosa St Ste 101
San Luis Obispo, CA 93405
Phone: (805) 782-8132
Mailing address
1400 E. CHURCH STREET
ATTENTION: MEDICAL STAFF OFFICE
SANTA MARIA, CA 93454
Phone: (805) 739-3954 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
CA 95009046
163W00000X
- Registered Nurse
WA 60468129

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.