LATOYA GRAHAM


Address: 8544 Pineverde Ln, Jacksonville, FL 32244-5258
Phone: 3473511826

LATOYA GRAHAM (NPI# 1932721594) 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) 1932721594
Entity Type Individual
Full Name LATOYA GRAHAM
Other Name LATOYA LATISH GRAHAM
Credential RN
Practice Address 8544 Pineverde Ln
Jacksonville
FL 32244-5258
Practice Telephone 3473511826
Mailing Telephone 3473511826
Enumeration Date 2020-05-17
Last Update Date 2020-05-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
RN9526227 FL Nursing Service Providers

Office Location

Street Address 8544 PINEVERDE LN
City JACKSONVILLE
State FL
Zip Code 32244-5258

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32244

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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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