Individual
SHANNON LEIGH GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8304 CREEDMOOR RD, RALEIGH, NC 27613-1697
(919) 870-8409
Mailing address
2620 MANOR STONE WAY, INDIAN TRAIL, NC 28079-8899
(607) 341-0159
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
GRAV-W91JR
NC
Other
Enumeration date
09/05/2023
Last updated
11/12/2025
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