JILLIAN LORRAINE GRAVES


Address: 3232 N Northhills Blvd, Fayetteville, AR 72703-4005
Phone: 4795871700

JILLIAN LORRAINE GRAVES (NPI# 1295113272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295113272
Entity Type Individual
Full Name JILLIAN LORRAINE GRAVES
Credential APRN
Practice Address 3232 N Northhills Blvd
Fayetteville
AR 72703-4005
Practice Telephone 4795871700
Mailing Telephone 4794587170
Mailing Fax Number 4795871366
Enumeration Date 2015-05-11
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
A004433 AR Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
A004433 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200890260A 05
AR 210063758 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Mercy Way Ste 20, Bella Vista, AR 727143000 4798025566
808 S 52nd St, Rogers, AR 727588602 4795871700
200 S 20th St, Rogers, AR 727581104 4796369669 4796360743
701 Sw Regional Airport Blvd, Bentonville, AR 727124589 4793195200

Other Providers JILLIAN GRAVES

NPI Name Taxonomy Address Enumeration
1992085740 Jillian M Graves Social Worker 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 2011-08-25

Office Location

Street Address 3232 N NORTHHILLS BLVD
City FAYETTEVILLE
State AR
Zip Code 72703-4005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952372120 J Thaddeus Beck Internal Medicine 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2006-01-27
1053936047 Olivia Harber Genetic Counselor, MS 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2020-06-15
1114427549 Susan L Ezell Nurse Practitioner 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2018-02-12
1750811758 Lauren Ballard Registered Nurse 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2017-06-13
1619406949 Bailie N Moore Nurse Practitioner 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2017-06-09
1093181794 Stephanie A Newman Nurse Practitioner 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2015-08-17
1356726020 Amber D Nguyen Nurse Practitioner 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2015-07-23
1295122315 Mark William Pickhardt Urology 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2015-04-16
1245631902 Miriam Elaine Porter Nurse Practitioner 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2014-09-11
1528489994 Deena Michelle Fitzgerald Clinical Nurse Specialist 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2014-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902456593 Ana Roselia Santos Burks Nurse Practitioner 2041 Valleygate Dr Ste 101, Fayetteville, NC 28304-3746 2019-09-16
1801364377 Ann Marie Alicia Burke Nurse Practitioner 2717 Preston Woods Ln Apt 2, Fayetteville, NC 28304-3627 2018-11-02
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1295185213 Nyaradzo Ogunwo Nurse Practitioner 1315 Aztek Pl, Fayetteville, NC 28314-6112 2016-06-21
1598126179 Temica Bohannon Niblack Nurse Practitioner 100 Halcyon Ct, Fayetteville, GA 30214-5375 2016-03-10
1043656093 Sharon Foster-geeter Nurse Practitioner 3613 Cape Center Dr, Fayetteville, NC 28304-4457 2013-05-17
1013225697 Adrian Nicole Lennon Nurse Practitioner 2018 Fort Bragg Rd Ste 110a, Fayetteville, NC 28303-7038 2010-09-17
1457361529 St. Joseph's Imaging Nurse Practitioner 4109 Medical Center Dr, Fayetteville, NY 13066-6600 2006-08-09
1821008194 Toni R. Guzi Nurse Practitioner 1260 Highway 54 West, Suite 101, Fayette Care Clinic, Fayetteville, GA 30214 2006-08-09
1588630883 Nancy Zlomek Nurse Practitioner 4212 Medical Center Dr, Eastside Internal Medicine, Fayetteville, NY 13066-6642 2006-02-27
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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