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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200890260A | 05 | |
AR | 210063758 | 05 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992085740 | Jillian M Graves | Social Worker | 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 | 2011-08-25 |
Street Address |
3232 N NORTHHILLS BLVD |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-4005 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 72703 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
Please comment or provide details below to improve the information on JILLIAN LORRAINE GRAVES.
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.