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JENNIFER T GRAHAM, ANP – NPI #1235492778
Adult Health

NPI Profile for JENNIFER T GRAHAM in LAKE CHARLES, LA.

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Contact Information

JENNIFER T GRAHAM, ANP
2770 3RD AVE STE 350
LAKE CHARLES, LA  70601-0404
 Phone: 337-494-2750
 Fax: 337-494-2760
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Adult Health

 363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER T GRAHAM · (Female)

NPI # 1235492778
Status Active
Credentials ANP (Adult Nurse Practitioner)
Entity Individual
Enumeration date 06/20/2012
Last updated 04/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • LA License # AP06581
  • LA Medicaid 2530984
  • LA Other AP06581 STATE LICENSE
Hospital affiliation(s)
  • CHRISTUS ST PATRICK HOSPITAL - (Acute Care)
    524 DR MICHAEL DEBAKEY STREET
    LAKE CHARLES, LA 70601
  • LAKE CHARLES MEMORIAL HOSPITAL - (Acute Care)
    1701 OAK PARK BLVD
    LAKE CHARLES, LA 70601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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