Jackson Graves

  • NPI 1740843127
According to our database, the NPI number for Jackson Graves is 1740843127 and activated since 5 years ago. Jackson Graves is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 530 Ne Glen Oak Ave, Peoria, IL 61637. You can also contact Jackson Graves via telephone number is (309) 655-2000. Provider NPI information was last updated on 04/21/2019.

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Overview of Jackson Graves

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/21/2019
  • Last updated: 04/21/2019

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: 90200000X
  • License State: IL

Provider Mailing Address

  • Address: 1904 S State St
    Springfield, IL 62704
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-655-2000
  • Fax:

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: 90200000X
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jackson Graves?
  • A: The npi number for Jackson Graves is 1740843127.
  • Q: What are Jackson Graves's specialties?
  • A: Jackson Graves's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Jackson Graves?
  • A: The medical license number for Jackson Graves is 90200000X and issued in IL in USA.
  • Q: Where is Jackson Graves practice location?
  • A: Jackson Graves is practicing at 530 Ne Glen Oak Ave, Peoria, IL 61637.
  • Q: How to contact Jackson Graves?
  • A: You can contact Jackson Graves via 309-655-2000.
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