MRS. JENNIFER M GRAVES (NPI# 1942280623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942280623 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER M GRAVES |
| Credential | PA-C |
| Practice Address |
2781 Tricom St Palmetto Pediatrics, Pa Charleston SC 29406-9170 |
| Practice Telephone | 8437975600 |
| Practice Fax Number | 8435724872 |
| Mailing Telephone | 8437975600 |
| Mailing Fax Number | 8435724872 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2010-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1089 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119869 | Jennifer Graves | Social Worker | 3326 Durham Chapel Hill Blvd Ste 130b, Durham, NC 27707-6244 | 2016-12-27 |
| 1699757138 | Jennifer Lynn Graves | Nurse Practitioner | 5906 E 31st St, Tulsa, OK 74135-5110 | 2005-11-18 |
| 1265908412 | Jennifer Lynn Graves | Student in an Organized Health Care Education/Training Program | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-10-15 |
| 1639682057 | Jennifer Graves | Registered Nurse | 220 S Palisade Dr Ste 203, Santa Maria, CA 93454 | 2017-11-07 |
| 1982091963 | Jennifer Nicole Graves | Physical Therapist | 334 E Mount Vernon Blvd, Mount Vernon, MO 65712-2024 | 2015-04-17 |
| 1033450531 | Jennifer Ann Graves | Occupational Therapy Assistant | 1200 N El Dorado Pl, Suite A-150, Tucson, AZ 85715-4637 | 2013-03-07 |
| 1659554673 | Jennifer Lynn Graves | Dentist | 331 S Moorpark Rd, Thousand Oaks, CA 91361-1008 | 2007-12-12 |
| 1609066745 | Jennifer J Graves | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-07-25 |
| 1992849863 | Jennifer S Graves | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123 | 2007-02-16 |
| Street Address |
2781 TRICOM ST PALMETTO PEDIATRICS, PA |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548394224 | Philip K. Lowe | Pediatrics | 2781 Tricom St, Palmetto Pediatrics, Pa, Charleston, SC 29406-9170 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
| 1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
| 1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
| 1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
| 1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
| 1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
| 1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
| 1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
| 1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on MRS. JENNIFER M 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.