DR. JEAN GRAHAM M.D. NPI 1508920661

NPI Information

  • NPI: 1508920661
  • Provider Name: DR. JEAN GRAHAM, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 4801 N BUTLER AVE
    FARMINGTON, NM
    ZIP 87401
  • Phone: (505) 324-8375

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NPI Details

DR. Jean Graham, M.D. is a specialist in Farmington, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jean Graham, M.D. NPI is 1508920661. 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:

4801 N BUTLER AVE
FARMINGTON, NM
ZIP 87401-002
Phone: (505) 324-8375

The enumeration date for this NPI number is 12/21/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialist97-254NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
184-1497491-001OTHERCOLORADOROCKY MT HMO
2NM012425OTHERNEW MEXICOBLUE CROSS BLUE SHIELD NM
3G55809MEDICARE UPINNEW MEXICO
4Q2833MEDICAIDNEW MEXICO

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: 11/21/2025

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