Individual
MRS. JENNIFER LYNN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5906 E 31ST ST, TULSA, OK 74135-5110
(918) 794-4777
(918) 794-4778
Mailing address
5906 E 31ST ST, TULSA, OK 74135-5110
(918) 510-8927
(918) 794-4778
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
28078821A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
R0083557
OK
Other
Enumeration date
11/18/2005
Last updated
03/22/2011
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