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Artissha Jenkins-Graves

Licensed Practical Nurse in Novi, MI. Individual provider (NPI-1).

NPI number1790289130
StatusActive
Last updated in NPPESMar 21, 2018

Details

NPI
1790289130
Entity type
Individual (NPI-1)
Name
Artissha Jenkins-Graves
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2018
Last updated
Mar 21, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse470309088MIYes

Practice location

23861 Pheasant Run
Novi, MI 48375-3350

Phone 248-525-1110

Mailing address

23861 Pheasant Run
Novi, MI 48375-3350

Phone 248-525-1110

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Novi, MI

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