MRS. DEUNDRA LORAINE GRAHAM FNP NPI 1013669811

NPI Information

  • NPI: 1013669811
  • Provider Name: MRS. DEUNDRA LORAINE GRAHAM, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 5110 WELLS DR
    EVANS, GA
    ZIP 30809
  • Phone: (706) 664-4106

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NPI Details

MRS. Deundra Loraine Graham, FNP is a family nurse practitioner in Evans, GA. MRS. Deundra Loraine Graham, FNP NPI is 1013669811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5110 WELLS DR
EVANS, GA
ZIP 30809-056
Phone: (706) 664-4106

The enumeration date for this NPI number is 1/22/2022 and was last updated on 5/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN206205GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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