JENNIFER A GRAVETTE CPNP NPI 1952639312

NPI Information

NPI: 1952639312
Provider Name: JENNIFER A GRAVETTE, CPNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1 CHILDRENS WAY SOUTH WING 1ST FLOOR
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-2270
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Jennifer A Gravette, CPNP is a primary care nurse practitioner in Little Rock, AR. Jennifer A Gravette, CPNP NPI is 1952639312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS WAY SOUTH WING 1ST FLOOR
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-2270
Fax: (501) 364-2283

The NPI 1952639312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/24/2009 and was last updated on 3/14/2022.

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	163W00000X	Registered Nurse		RN 733706	CALIFORNIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	NP18634	CALIFORNIA	No
3	363LP2300X	Nurse Practitioner	Primary Care	217840	ARKANSAS	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: 11/14/2023

NPI Synchronization or Removal

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