Graves, Gina B
Graves, Gina B is an individual health care provider with primary practice located at 1609 Rosewood Dr , Columbia TN 38401-6420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graves, Gina B can be contacted via phone (931) 388-8802.Contact Information
Primary practice address
1609 Rosewood Dr
Columbia TN 38401-6420
Phone: (931) 388-8802
Fax: (931) 490-2292
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7200 | Tennessee |
Profile Details
NPI number | 1457430613 |
---|---|
LBN Legal business name | Graves, Gina B |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 6th, 2006 |
Last updated | Feb 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457430613 | NPPES |
Tennessee | MEDICAID | 3905894 | |
Tennessee | Other | 4162439 | |
Tennessee | MEDICAID | 3710089 | |
Tennessee | Other | 4189255 | |
Tennessee | MEDICAID | 1506769 | |
Tennessee | MEDICAID | 3732438 |
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