Individual
MS. REBECCA GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
92 W RATLIFF ST, LUCEDALE, MS 39452
(601) 947-8181
(601) 947-4411
Mailing address
92 RATLIFF ST, LUCEDALE, MS 39452-6537
(601) 947-8181
(601) 947-4411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R866709
MS
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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