AUTUMN MARIE GRAHAM (NPI# 1073153417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073153417 |
| Entity Type | Individual |
| Full Name | AUTUMN MARIE GRAHAM |
| Credential | FNP |
| Practice Address |
1610 S Jefferson Ave Mt Pleasant TX 75455-5614 |
| Mailing Address |
2001 N Jefferson Ave Mount Pleasant TX 75455-2338 |
| Practice Telephone | 9035772273 |
| Practice Fax Number | 9035720696 |
| Mailing Telephone | 9035776000 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP144493 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | AP144493 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 N Jefferson Ave Ste 204a, Mt Pleasant, TX 754552300 | 9035772273 | |
| 1901a Mulberry Ave, Mt Pleasant, TX 754552369 | 9035772273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567012 | Autumn C Graham | Emergency Medicine | 110 Irving St Nw, Washington, DC 20010-2976 | 2005-06-13 |
| Street Address |
1610 S JEFFERSON AVE |
| City | MT PLEASANT |
| State | TX |
| Zip Code | 75455-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| 1003125162 | Chhs, Inc. | Home Health | 1002 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2010-10-06 |
| Find all providers in zip 75455 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721396 | Margaret G Darr | Nurse Practitioner | 752 Gate Post Dr, Mt Pleasant, SC 29464-4948 | 2020-05-08 |
| 1285193847 | Restorative Joint & Wellness Center | Nurse Practitioner | 1318 S Jefferson Ave Ste B, Mt Pleasant, TX 75455-5355 | 2019-03-13 |
| 1508236464 | Jennifer Cianci | Nurse Practitioner | 710 Johnnie Dodds Blvd Ste 101, Mt Pleasant, SC 29464-3045 | 2015-10-04 |
| 1770829467 | Renee Lyn Kern | Nurse Practitioner | 4599 Jennifer Ln, Mt Pleasant, MI 48858-2064 | 2012-12-27 |
| 1699949057 | Sara J. Staker | Nurse Practitioner | 245 W 100 N # 42, Mt Pleasant, UT 84647-1343 | 2008-04-16 |
| 1316074925 | Virginia Murray Owens | Nurse Practitioner | 886 Johnnie Dodds Blvd Unit 100, Mt Pleasant, SC 29464-3190 | 2007-02-28 |
| 1689701765 | Brenda Baldwin Toohey | Nurse Practitioner | 3510 N Highway 17 Ste 325, Mt Pleasant, SC 29466-8232 | 2007-02-27 |
| 1295761393 | Carolyn Andrea Newton | Nurse Practitioner | 3510 N Highway 17 Ste 110, Mt Pleasant, SC 29466-8228 | 2006-06-23 |
| 1245299783 | Jo Ann Kimble-hahn | Nurse Practitioner | 3000 Hahn Scott Rd, Mt Pleasant, NC 28124-9361 | 2006-03-22 |
| 1922611151 | Amanda Nutter | Nurse Practitioner | 599 N Church St, Mt Pleasant, PA 15666-1004 | 2020-08-27 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 75455 |
Please comment or provide details below to improve the information on AUTUMN MARIE GRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.