JESSICA NICOLE GRAHAM (NPI# 1346733615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346733615 |
Entity Type | Individual |
Full Name | JESSICA NICOLE GRAHAM |
Credential | NP |
Practice Address |
2507 Harrison Ave Unit 101 Panama City FL 32405 |
Mailing Address |
514 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4047 |
Practice Telephone | 8503814978 |
Mailing Telephone | 8503788773 |
Enumeration Date | 2018-06-12 |
Last Update Date | 2019-05-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9319432 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
1215494984 | Jessica Paige Graham | Occupational Therapist | 8202 Elberta Dr, Ellicott City, MD 21043-6658 | 2019-02-28 |
1174064836 | Jessica Graham | Specialist/Technologist | 8071 Windy Sea Cir, Huntington Beach, CA 92647-6335 | 2017-03-14 |
1831540574 | Jessica Graham | Speech-Language Pathologist | 7100 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2016-06-23 |
1588671143 | Jessica Ann Graham | Chiropractor | 1002 S Dakota St, Suite 101, Milbank, SD 57252-2700 | 2006-08-03 |
1922612498 | Jessica Ann Graham | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-09-02 |
1457992232 | Jessica Erin Graham | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110-1081 | 2019-10-03 |
1902371412 | Jessica Kay Graham | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-10-11 |
1003329954 | Jessica Graham | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-11-14 |
Street Address |
2507 HARRISON AVE UNIT 101 |
City | PANAMA CITY |
State | FL |
Zip Code | 32405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
1144678855 | Faith Olivia Woerner | Behavioral Analyst | 4750 Collegiate Dr., Panama City, FL 32405 | 2016-06-03 |
Find all providers in zip 32405 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932727666 | Daniel Totter | Nurse Practitioner | 4008 Brently Cir, Panama City, FL 32405-4844 | 2020-07-09 |
1962023580 | Valorey Jenkins | Nurse Practitioner | 5400 Bayline Dr, Panama City, FL 32404-5492 | 2020-05-05 |
1932752276 | Bruce Franklin Ferris Jr. | Nurse Practitioner | 237 E Baldwin Rd Ste 101, Panama City, FL 32405-4463 | 2019-07-16 |
1710489182 | Amanda Danielle Mcquagge | Nurse Practitioner | 237 E Baldwin Rd Ste 103, Panama City, FL 32405-4205 | 2018-03-01 |
1306347505 | Delinda Bane Melvin | Nurse Practitioner | 7834 Olde Mill Rd, Panama City, FL 32409-4824 | 2018-02-22 |
1710492392 | Shiloh Leanne Simmons | Nurse Practitioner | 5668 Joseph Rd, Panama City, FL 32404-5026 | 2017-12-05 |
1235537044 | Vanquiece Lashunn Lindsey | Nurse Practitioner | 2910 Cedars Xing, Panama City, FL 32405-6388 | 2014-12-10 |
1386916500 | Rachel Denise Spikes | Nurse Practitioner | 2633 Highway 77 Ste A, Panama City, FL 32405-4406 | 2012-02-03 |
1861790537 | Brian Keith Welch | Nurse Practitioner | 3228e 15th St, Panama City, FL 32405-7423 | 2011-03-04 |
1245471002 | Rachael Burnetsky | Nurse Practitioner | 2703 Talon Ct, Panama City, FL 32405-6672 | 2009-03-09 |
Find all providers in PANAMA CITY |
City | PANAMA CITY |
Zip Code | 32405 |
Please comment or provide details below to improve the information on JESSICA NICOLE 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.