Jennifer Lynn Graves, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R0083557 Issued in OK

Practice address

5906 E 31St St
Tulsa, OK 74135-5110

Phone

(918) 794-4777

Fax

(918) 794-4778

NPI assigned

Nov 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Jennifer Lynn Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1699757138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355110",
            "telephone_number": "918-510-8927",
            "fax_number": "918-794-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355110",
            "telephone_number": "918-794-4777",
            "fax_number": "918-794-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28078821A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R0083557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "NURSE PRACTITIIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaden Gravatt
• Angie Graves
• Brittany Graves, LMSW-P
• Holly M Graves, MS, OTRL
• Jeff Rodney Graves
• Leah Lyn Graves, RD
• Yance Graves
• Courtney Marie Gravier
• Cecelia Kay Gray-Alsay, ACSW, QCSW
• Abigail Kathleen Gray

• Adult Health Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.