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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
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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