PORSHA NICOLE GRAHAM NPI 1225755473

NPI Information

NPI: 1225755473
Provider Name: PORSHA NICOLE GRAHAM
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
2255 S LINDEN RD STE A
FLINT, MI
ZIP 48532
Phone: (810) 732-8087
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Porsha Nicole Graham is a licensed practical nurse in Flint, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Porsha Nicole Graham NPI is 1225755473. 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:

2255 S LINDEN RD STE A
FLINT, MI
ZIP 48532-417
Phone: (810) 732-8087

The enumeration date for this NPI number is 10/27/2022 and was last updated on 10/27/2022.

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
1	164W00000X	Licensed Practical Nurse		21190045036	MICHIGAN	No
2	164W00000X	Licensed Practical Nurse		4703102720	MICHIGAN	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: 5/5/2024

NPI Synchronization or Removal

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