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Contact Information

JENNIFER E GRAHAM, NP-C
970 EAST WASHINGTON STREET
MEDINA, OH44256
 Phone: 330-723-7999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

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

NPI Number 1356756241
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 06/30/2014
Last updated 06/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA. 1611-NP
Hospital affiliation(s) Not Available
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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