JESSICA NICOLE GRAHAM


Address: 2507 Harrison Ave Unit 101, Panama City, FL 32405
Phone: 8503814978

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9319432 FL Physician Assistants & Advanced Practice Nursing Providers

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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

Office Location

Street Address 2507 HARRISON AVE UNIT 101
City PANAMA CITY
State FL
Zip Code 32405

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PANAMA CITY
Zip Code 32405

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Dataset Information

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.

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