Individual provider · Type 1 NPI
Jason William Degraff, AGACNP-BC
Acute Care Nurse Practitioner · Los Angeles, CA
NPI number
1104562701
Active
Practice location
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95165644 (CA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95029925 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104562701
Jason William Degraff, AGACNP-BC's National Provider Identifier is 1104562701, issued on May 7, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 28, 2026.