JACLYN GRAVIS


Address: 2 Medical Park Rd, Suite 501, Columbia, SC 29203-6808
Phone: 8035401000

JACLYN GRAVIS (NPI# 1427501873) 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) 1427501873
Entity Type Individual
Full Name JACLYN GRAVIS
Credential FNP
Practice Address 2 Medical Park Rd
Suite 501
Columbia
SC 29203-6808
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8035401000
Mailing Telephone 8032967320
Mailing Fax Number 8032967330
Enumeration Date 2016-08-02
Last Update Date 2018-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
20386 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP4147 05

Office Location

Street Address 2 MEDICAL PARK RD
SUITE 501
City COLUMBIA
State SC
Zip Code 29203-6808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952383481 Andrea Adams Sellers Genetic Counselor, MS 2 Medical Park Rd, Columbia, SC 29203-6808 2005-11-18
1174070429 Chay N Malvasio Physician Assistant 2 Medical Park Rd, Suite L9, Columbia, SC 29203 2016-09-03
1952784092 Chad Schmidt Specialist 2 Medical Park Rd, Columbia, SC 29203-6808 2015-07-07
1083013593 Katie Coulter Specialist/Technologist 2 Medical Park Rd, Suite 104, Columbia, SC 29203-6808 2014-08-20
1053729905 Whitney Dobek Genetic Counselor, MS 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 2014-07-23
1861809162 Emily Olivia Rosebrough Jordon Genetic Counselor, MS 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 2014-07-18
1992042360 Jessica Alexis Koller Physical Medicine & Rehabilitation 2 Medical Park Rd, Columbia, SC 29203-6808 2013-01-05
1497013643 Katherine Meriwether Hartley Social Worker 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6808 2012-04-25
1245471895 Karen L Edwards Specialist/Technologist 2 Medical Park Rd, Lower Level, Columbia, SC 29203-6808 2009-03-11
1770731838 Victoria Ann Vincent Genetic Counselor, MS 2 Medical Park Rd, Suite 103, Columbia, SC 29203 2008-09-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
Find all providers in zip 29203

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114526266 Leslie Desha Nurse Practitioner 1109 Pheasant Run, Columbia, MO 65201-6253 2020-10-20
1407454101 Jason D Jones Nurse Practitioner 213 Austell Dr, Columbia, TN 38401-5531 2020-10-14
1316544315 Rezvaneh Goodarzi Nurse Practitioner 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 2020-10-03
1316559255 Lauren Olivia Lenauer Nurse Practitioner 1600 E Broadway # 300, Columbia, MO 65201-5844 2020-08-21
1285246272 Lourdes Claire De Las Alas Nurse Practitioner 6005 Shepherd Sq, Columbia, MD 21044-3114 2020-08-20
1619587540 Josey Abraham Nurse Practitioner 305 Aiken Hunt Cir, Columbia, SC 29223-8407 2020-08-05
1588274765 Tomeka Nichole Jackson Nurse Practitioner 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 2020-08-03
1528696762 Mark Edward Merkel Nurse Practitioner 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 2020-04-01
1306489265 Andrew Leitch Nurse Practitioner 313 N Trenholm Rd, Columbia, SC 29206-3207 2019-10-23
1760033476 Emily Smith Nurse Practitioner 157 Chinquapin Cir, Columbia, SC 29212-2902 2019-09-24
Find all providers in COLUMBIA

Competitor

Search similar providers

City COLUMBIA
Zip Code 29203

Improve Information

Please comment or provide details below to improve the information on JACLYN GRAVIS.

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.

Trending Searches