JACKIE ANN BURR GRAUE NP NPI 1972781847

NPI Information

NPI: 1972781847
Provider Name: JACKIE ANN BURR GRAUE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3415 MC INTOSH CIR
JOPLIN, MO
ZIP 64804
Phone: (417) 347-1111
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Jackie Ann Burr Graue, NP is a family nurse practitioner in Joplin, MO. Jackie Ann Burr Graue, NP NPI is 1972781847. 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:

3415 MC INTOSH CIR
JOPLIN, MO
ZIP 64804-651
Phone: (417) 347-1111
Fax: (417) 347-4064

The enumeration date for this NPI number is 2/4/2008 and was last updated on 9/24/2008.

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	363LF0000X	Nurse Practitioner	Family	110313	MISSOURI	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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