Shoni Lavon Graves, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Juliaetta, Idaho. Shoni Lavon Graves is licensed to practice in Idaho (license number 4071685) and her current practice location is
25277 Ridge Ln, Juliaetta, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 816-6700.
NPI number for Shoni Lavon Graves is 1710854518 and her current mailing address is 25277 Ridge Ln, Juliaetta, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710854518.
Provider's Profile
| Full Name | Shoni Lavon Graves |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 25277 Ridge Ln, Juliaetta, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710854518
- Provider Enumeration Date: 10/17/2025
- Last Update Date: 10/17/2025
Medical Identifiers
Medical identifiers for Shoni Lavon Graves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710854518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4071685 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shoni Lavon Graves is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shoni Lavon Graves, PMHNP 25277 Ridge Ln, Juliaetta, ID 83535-6113 Ph: (208) 816-6700 | Shoni Lavon Graves, PMHNP 25277 Ridge Ln, Juliaetta, ID 83535-6113 Ph: (208) 816-6700 |
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