Individual
MRS. JENNIFER GRAVES BORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
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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