Individual provider · Type 1 NPI

Gregg Travis Graham, FNP

Family Nurse Practitioner · Concord, NC

NPI number 1356401574 Active

Practice location

354 Copperfield Blvd NE
Concord, NC 28025-2402

Fax (704) 782-8279

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290

Other practice locations

  • 1110 Hospital Road, Orthopedic Surgery Department, Fort Walton Beach, FL 32547-6796 · (850) 863-8235

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5011714 (NC)
Nurse Practitioner 363L00000XARNP9332853 (FL)

Family Nurse Practitioner: Definition to come...

45 other providers at this address

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About NPI 1356401574

Gregg Travis Graham, FNP's National Provider Identifier is 1356401574, issued on Dec 11, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Concord, NC. The record was last updated on Jun 4, 2019.