Individual
BETH MITCHELL GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN20633
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477516953
GROUP NPI
TN
01
—
3380640
GROUP MEDICARE
TN
Enumeration date
10/28/2015
Last updated
10/28/2015
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