MRS. LACEY STARR GRAHAM CRNP NPI 1124612510

NPI Information

NPI: 1124612510
Provider Name: MRS. LACEY STARR GRAHAM, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2391 HIGHWAY 78
DORA, AL
ZIP 35062
Phone: (205) 255-7052
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MRS. Lacey Starr Graham, CRNP is a family nurse practitioner in Dora, AL. MRS. Lacey Starr Graham, CRNP NPI is 1124612510. 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:

2391 HIGHWAY 78
DORA, AL
ZIP 35062-233
Phone: (205) 255-7052

The enumeration date for this NPI number is 2/25/2021 and was last updated on 2/25/2021.

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
1	363LF0000X	Nurse Practitioner	Family	1-153271	ALABAMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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