LATISHA GRAHAM NPI 1780052555

NPI Information

  • NPI: 1780052555
  • Provider Name: LATISHA GRAHAM
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 3188 SAG HARBOR CT
    BUFORD, GA
    ZIP 30519
  • Phone: (973) 220-5388

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NPI Details

Latisha Graham is an adult health nurse practitioner in Buford, GA. Latisha Graham NPI is 1780052555. 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:

3188 SAG HARBOR CT
BUFORD, GA
ZIP 30519-604
Phone: (973) 220-5388

The enumeration date for this NPI number is 9/9/2015 and was last updated on 9/25/2015.

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
1207QA0505XFamily MedicineAdult MedicineA0615004GEORGIANo
2363LA2200XNurse PractitionerAdult HealthRN212577GEORGIAYes

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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