Individual provider · Type 1 NPI

Nicole Leann Graham

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1497587729 Active

Practice location

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147

Fax (317) 291-7433

Other practice locations

  • 1250 E Market St, Indianapolis, IN 46202-3831 · (317) 291-7422
  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 · (317) 944-5000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71017022A (IN)
Pediatric Registered Nurse 163WP0200X28275000A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497587729

Nicole Leann Graham's National Provider Identifier is 1497587729, issued on Aug 15, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 3, 2026.