Individual
JACKIE ANN BURR GRAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3415 MC INTOSH CIR, JOPLIN, MO 64804-3651
(417) 347-1111
(417) 347-4064
Mailing address
3415 MC INTOSH CIR, JOPLIN, MO 64804-3651
(417) 347-1111
(417) 347-4064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110313
MO
Other
Enumeration date
02/04/2008
Last updated
09/24/2008
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