Individual provider · Type 1 NPI

Jenine Marie Graham, APRN, CNP

Nurse Practitioner · St. Cloud, MN

NPI number 1619404928 Active

Practice location

1200 6th Ave N
St. Cloud, MN 56303-2735

Call (320) 251-2700 Map

Fax (320) 240-2830

Mailing address

11187 Woods Edge Ave
Becker, MN 55308-4553

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	5005 (MN)

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 1619404928

Jenine Marie Graham, APRN, CNP's National Provider Identifier is 1619404928, issued on May 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Cloud, MN. The record was last updated on May 17, 2017.