| Doctor Name: | CHERRY ELIZABETH GRAVES |
| NPI Number: | 1033328471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C, WHNP-BC |
| License Number: | R866332 |
| Business Practice Address: | 14231 Seaway Rd Suite 3004 Gulfport, MS - 395034628 |
| Business Phone Number: | 2282061905 |
| Business Fax Number: | 2282061917 |
| Mailing Address: | 14231 Seaway Rd, Suite 3004 GULFPORT |
| State: | MS |
| Postal Code: | 395034628 |
| Phone Number: | 2282061905 |
| Fax Number: | 2282061917 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R866332 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |