M JESSICA GRAVES NP NPI 1609496223

NPI Information

NPI: 1609496223
Provider Name: M JESSICA GRAVES, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
450 BAUCHET ST
LOS ANGELES, CA
ZIP 90012
Phone: (213) 893-5100
Get Directions

M Jessica Graves, NP is a primary care nurse practitioner in Los Angeles, CA. M Jessica Graves, NP NPI is 1609496223. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

450 BAUCHET ST
LOS ANGELES, CA
ZIP 90012-907
Phone: (213) 893-5100

The enumeration date for this NPI number is 4/23/2020 and was last updated on 4/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	NP95014178	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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