Healthcare Provider Details

I. General information

NPI: 1144652181
Provider Name (Legal Business Name): JOANIE LYNN GRAVES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 BELL LANE SUITE C & D
WEST MONROE LA
71291-1348
US

IV. Provider business mailing address

206 BELL LN STE C & D
WEST MONROE LA
71291-1348
US

V. Phone/Fax

Practice location:
  • Phone: 318-310-5840
  • Fax:
Mailing address:
  • Phone: 318-310-5840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP07422
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP07422
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: