Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Laura Graves, PA-C

Individual provider Medical Physician Assistant · NPI 1407120066

Jessica Laura Graves, PA-C is a Physician Assistant in Broken Arrow, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2011, 15 years ago. Practices with Southside Dermatology PLLC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Hawaii and Oklahoma.

Years since qualifying
15
Trained at
University of Oklahoma College of Medicine
Licensed in
HI, OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4700 W Urbana St Ste 100
Broken Arrow, OK 74012-5520
Phone: (539) 281-3101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 E Kaahumanu Ave, Kahului, HI 96732-2118 — (808) 871-1730
  • 333 S 38th St Ste E, Muskogee, OK 74401-4937 — (918) 840-5276

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2129 (OK)
Physician Assistant Taxonomy 363A00000X · Licence AMD-770 (HI)

Record details

NPI number1407120066
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 29, 2012
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Southside Dermatology Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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