MEDICARE: HEATHER GRAVES APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A005579	AR

General Provider Information

NPI Number	:	1073004149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER GRAVES APRN

Provider Business Mailing Address
First Line	:	227 W BEECH ST
Second Line	:
City	:	JUNCTION CITY
State	:	AR
Zip	:	71749-9037
Country	:	US
Telephone Number	:	870-444-6599
Fax Number	:	870-444-6738

Provider Business Practice Location Address
First Line	:	227 W. BEECH ST
Second Line	:
City	:	JUNCTION CITY
State	:	AR
Zip	:	71749-9037
Country	:	US
Telephone Number	:	870-444-6599
Fax Number	:	870-444-6738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	02/27/2025

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Directions to “ HEATHER GRAVES APRN” Practice Location

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