Healthcare Provider Details

I. General information

NPI: 1417823550
Provider Name (Legal Business Name): JAYDON CHRISTOPHER GRAFSGAARD FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 7TH ST NE
DEVILS LAKE ND
58301-2719
US

IV. Provider business mailing address

8967 52ND ST NE
DEVILS LAKE ND
58301-9576
US

V. Phone/Fax

Practice location:
  • Phone: 701-662-2131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number203630
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: