Individual provider · Type 1 NPI

Deraine H. Graham, NP

Nurse Practitioner · Tifton, GA

NPI number 1033228200 Active

Practice location

2225 US Highway 41 N
Tifton, GA 31794

Fax (229) 391-4508

Mailing address

2225 US Hwy 41 N
Tifton, GA 31794

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN072968 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033228200

Deraine H. Graham, NP's National Provider Identifier is 1033228200, issued on Aug 30, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tifton, GA. The record was last updated on Mar 18, 2008.