JEANNINE GRAHAM (NPI# 1124668421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124668421 |
| Entity Type | Individual |
| Full Name | JEANNINE GRAHAM |
| Practice Address |
10205 Lily Green Ct Upper Marlboro MD 20772-6665 |
| Practice Telephone | 2404415851 |
| Mailing Telephone | 2404415851 |
| 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 | 347E00000X | Transportation Broker | MD | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NO OTHER PROVIDER IDENTIFIERS AT THIS TIME | NA | 01 |
| Street Address |
10205 LILY GREEN CT |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-6665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 347E00000X |
| Grouping | Transportation Services |
| Classification | Transportation Broker |
| A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386100055 | Neelum Moondra | Transportation Broker | 1400 Bell Island Trl, Salisbury, MD 21801-7463 | 2019-02-18 |
| 1376027896 | Metro Group Care Inc | Transportation Broker | 6490 Landover Rd Ste B5-a, Cheverly, MD 20785-1443 | 2018-09-20 |
| 1225570781 | Charles Appiah | Transportation Broker | 9 Mccausland Pl Apt 202, Gaithersburg, MD 20877-7716 | 2016-11-14 |
| 1578961009 | Carekinetics,llc | Transportation Broker | 2822 Cross Country Ct, Fallston, MD 21047-1319 | 2014-12-16 |
| 1174600589 | Friendly Harbor Services | Transportation Broker | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| City | UPPER MARLBORO |
| Zip Code | 20772 |
Please comment or provide details below to improve the information on JEANNINE 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.