Individual provider · Type 1 NPI
M Jessica Graves, NP
Primary Care Nurse Practitioner · Los Angeles, CA
NPI number
1609496223
Active
Practice location
450 Bauchet St
Los Angeles, CA 90012-2907
Mailing address
28319 Royal Rd
Castaic, CA 91384-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP95014178 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1609496223
M Jessica Graves, NP's National Provider Identifier is 1609496223, issued on Apr 23, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 23, 2020.