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Individual

JENNIFER A GRAVETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1 CHILDRENS WAY SOUTH WING 1ST FLOOR, LITTLE ROCK, AR 72202
(501) 364-2270
(501) 364-2283
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 733706
CA
363LP0200X
Pediatric Nurse Practitioner
NP18634
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
217840
AR

Other

Enumeration date
11/24/2009
Last updated
03/14/2022
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