Individual provider · Type 1 NPI

Brent Graham

Adult Health Nurse Practitioner · Hammond, LA

NPI number 1255011813 Active

Practice location

15770 Paul Vega Md Dr Ste 108A
Hammond, LA 70403-1475

Fax (985) 230-7461

Mailing address

49427 Tullos Rd
Franklinton, LA 70438-3855

Other practice locations

  • 15837 Paul Vega Dr, Hammond, LA 70403-1495 · (985) 230-2480
  • 15770 Paul Vega Md Dr Ste 108A, Hammond, LA 70403-1475 · (985) 230-1870

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X231115 (LA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1255011813

Brent Graham's National Provider Identifier is 1255011813, issued on Jul 19, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hammond, LA. The record was last updated on Aug 11, 2023.