MRS. BRIANNE GRAVES


Address: 3517 Peeler Rd, Unit 11, Jacksonville, FL 32277-0616
Phone: 9047444196

MRS. BRIANNE GRAVES (NPI# 1164697157) 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) 1164697157
Entity Type Individual
Full Name MRS. BRIANNE GRAVES
Credential MS
Practice Address 3517 Peeler Rd
Unit 11
Jacksonville
FL 32277-0616
Practice Telephone 9047444196
Mailing Telephone 9047444196
Enumeration Date 2008-04-29
Last Update Date 2008-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers

Office Location

Street Address 3517 PEELER RD
UNIT 11
City JACKSONVILLE
State FL
Zip Code 32277-0616

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City JACKSONVILLE
Zip Code 32277

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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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