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Individual

GINA B GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1609 ROSEWOOD DR, COLUMBIA, TN 38401-6420
(931) 388-8802
(931) 490-2292
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7200
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1506769
TN
05
3710089
TN
05
3732438
TN
05
3905894
TN
01
4162439
BCBST
TN
01
4189255
BCBST
Enumeration date
11/06/2006
Last updated
11/06/2025
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