Individual
JESSICA LAURA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 S 38TH ST STE E, MUSKOGEE, OK 74401-4937
(918) 840-5276
(918) 877-1312
Mailing address
333 S 38TH ST STE E, MUSKOGEE, OK 74401-4937
(918) 840-5276
(918) 877-1312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD-770
HI
363AM0700X
Medical Physician Assistant
Primary
PA2129
OK
Other
Enumeration date
02/29/2012
Last updated
08/29/2022
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