person
Jonathan C Graber, NP
Psychiatric/Mental Health Registered Nurse in Goshen, Indiana
NPI 1770527285

Jonathan C Graber is a Psychiatric/Mental Health Registered Nurse based in Goshen, IN and is specialized in Psychiatric/Mental Health. Jonathan C Graber practices in Goshen, IN and has the professional credentials of NP. The NPI Number for Jonathan C Graber is 1770527285 and holds a License No. 71000256A (Indiana).

The current practice location address for Jonathan C Graber is 330 Lakeview Dr, Goshen, IN and can be reached out via phone at 574-533-1234 and via fax at 574-537-2652.

Location: 330 Lakeview Dr, Goshen, IN, 46528-9365
person
Provider Profile Details
NPI Number
1770527285
Provider Name
Jonathan C Graber
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
330 Lakeview Dr, Goshen, IN, 46528-9365
Phone Number
574-533-1234
Fax Number
574-537-2652
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200125900 05 IN
000000531843 01 ANTHEM PIN
P00090584 01 IN RAILROAD MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
330 Lakeview Dr
City
State
Zip
46528-9365
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider Business Mailing Address Details
Address
330 Lakeview Dr
City
State
Zip
46528-9365
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28113375A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71000256A (Indiana)
Definition
Definition to come...
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