person
Brent Graham
Adult Health Nurse Practitioner in Hammond, Louisiana
NPI 1255011813

Brent Graham is an Adult Health Nurse Practitioner based in Franklinton, LA and is specialized in Adult Health. Brent Graham practices in Hammond, LA. The NPI Number for Brent Graham is 1255011813 and holds a License No. 231115 (Louisiana).

The current practice location address for Brent Graham is 15770 Paul Vega Md Dr Ste 108A, Hammond, LA and can be reached out via phone at 985-230-1870 and via fax at 985-230-7461. You can also correspond with Brent Graham through the mailing address at 49427 TULLOS RD, FRANKLINTON, LA - 70438-3855 (mailing address contact number: 985-515-9751).

Location: 15770 Paul Vega Md Dr Ste 108A, Hammond, LA, 70438-3855
person
Provider Profile Details
NPI Number
1255011813
Provider Name
Brent Graham
Credential
Provider Entity Type
Individual
Gender
Male
Address
15770 Paul Vega Md Dr Ste 108A, Hammond, LA, 70438-3855
Phone Number
985-230-1870
Fax Number
985-230-7461
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15770 Paul Vega Md Dr Ste 108A
City
State
Zip
70403-1475
Phone Number
985-230-1870
Fax Number
985-230-7461
person
Provider Business Mailing Address Details
Address
49427 Tullos Rd
City
State
Zip
70438-3855
Phone Number
985-515-9751
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
231115 (Louisiana)
Definition
Definition to come...
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