Jillian Grace Gravel, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9486421 Issued in FL

Practice address

2528 Okeechobee Blvd
West Palm Beach, FL 33409-4006

Phone

(203) 695-4874

NPI assigned

Sep 15, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1174301774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6483 ROYAL PALM BEACH BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121857",
            "telephone_number": "203-695-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094006",
            "telephone_number": "203-695-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVEL",
        "first_name": "JILLIAN",
        "middle_name": "GRACE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9486421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grapevine Care Services LLC
• Grapevine Medical Supply Inc
• Gratia Advanced Health Practice L.L.C.
• Vladymir Gratia
• Gratitude House, Inc
• Lily Graves
• Alkeita Gray
• Vanessa Gray, LCSW, MCAP
• Tammy Allison Grayson, LCSW
• Kristi Ann Graziano, LCSW

• Family Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.