Individual
JERRY G GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
700 W 800 N STE 220, OREM, UT 84057-6301
(801) 354-8205
(801) 354-8206
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279296-4405
UT
Other
Enumeration date
08/19/2011
Last updated
11/27/2023
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