Individual
MRS. JENNIFER GRAVES BORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
215 KATHERINE DRIVE, SUITE A, FLOWOOD, MS 39232-9588
(601) 665-4162
(855) 830-3484
Mailing address
6 FATHERLAND ROAD, NATCHEZ, MS 39120
(228) 861-9030
(318) 339-6388
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
204315
LA
Other
Enumeration date
04/11/2019
Last updated
09/07/2023
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