Individual provider · Type 1 NPI
Mary Jo Graves, CPNP
Pediatric Nurse Practitioner · Fresno, CA
NPI number
1962861179
Active
Practice location
7011 N Howard St Ste 202
Fresno, CA 93720-2955
Fax (559) 447-4496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | C236057-NPF 361 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1962861179
Mary Jo Graves, CPNP's National Provider Identifier is 1962861179, issued on Feb 16, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fresno, CA. The record was last updated on Feb 16, 2016.