Individual
MS. DEBORAH LOUISE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 COLEMAN DR, HUMBOLDT, TN 38343-1995
(731) 470-4020
(731) 562-0349
Mailing address
2500 N CENTRAL AVE, SUITE D, HUMBOLDT, TN 38343-1756
(731) 470-4020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN12792
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511765
—
TN
Enumeration date
05/09/2007
Last updated
02/19/2021
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