person
Jaclyn Marie Gravis, FNP
Family Nurse Practitioner in Columbia, South Carolina
NPI 1427501873

Jaclyn Marie Gravis is a Family Nurse Practitioner based in Greenville, SC and is specialized in Family. Jaclyn Marie Gravis practices in Columbia, SC and has the professional credentials of FNP. The NPI Number for Jaclyn Marie Gravis is 1427501873 and holds a License No. 20386 (South Carolina).

The current practice location address for Jaclyn Marie Gravis is 2 Medical Park Rd, Columbia, SC and can be reached out via phone at 803-434-3320 and via fax at 803-540-1011.

Location: 2 Medical Park Rd, Columbia, SC, 29601-2842
person
Provider Profile Details
NPI Number
1427501873
Provider Name
Jaclyn Marie Gravis
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2 Medical Park Rd, Columbia, SC, 29601-2842
Phone Number
803-434-3320
Fax Number
803-540-1011
Provider Enumeration Date
08/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4147 05 SC
institution
Provider Business Practice Location Address Details
Address
2 Medical Park Rd
City
State
Zip
29203-6808
Phone Number
803-434-3320
Fax Number
803-540-1011
person
Provider Business Mailing Address Details
Address
2 Medical Park Rd
City
State
Zip
29203-6808
Phone Number
803-434-3320
Fax Number
803-540-1011
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20386 (South Carolina)
Definition
Definition to come...
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