Doctor Name: | MRS. JENNIFER LYN GRAFF |
NPI Number: | 1053757922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 22762 |
Business Practice Address: | 275 Hospital Drive Ukiah, CA - 95482 |
Business Phone Number: | 7074627900 |
Business Fax Number: | 7075372119 |
Mailing Address: | 845 Bond Pl, WINDSOR |
State: | CA |
Postal Code: | 95492 |
Phone Number: | 9083912741 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2013 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 22762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |