Search › Missouri › 363LF0000X

Jackie Graue, NP

NPI 1972781847 · on the registry since 2008 · sole proprietor

Practice

Address
3415 Mc Intosh Cir
Joplin, MO 64804
Phone
(417) 347-1111
Fax
(417) 347-4064

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri