Individual
SHONI LAVON GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
25277 RIDGE LN, JULIAETTA, ID 83535-6113
(208) 816-6700
Mailing address
25277 RIDGE LN, JULIAETTA, ID 83535-6113
(208) 816-6700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4071685
ID
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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