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Gregg Travis Graham, FNP
Nurse Practitioner in Concord, North Carolina
NPI 1356401574

Gregg Travis Graham is a Nurse Practitioner based in Charlotte, NC. Gregg Travis Graham practices in Concord, NC and has the professional credentials of FNP. The NPI Number for Gregg Travis Graham is 1356401574 and holds a License No. 5011714 (North Carolina).

The current practice location address for Gregg Travis Graham is 354 Copperfield Blvd Ne, Concord, NC and can be reached out via phone at 704-786-5122 and via fax at 704-782-8279.

Location: 354 Copperfield Blvd Ne, Concord, NC, 28209-2290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356401574
Provider Name
Gregg Travis Graham
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
354 Copperfield Blvd Ne, Concord, NC, 28209-2290
Phone Number
704-786-5122
Fax Number
704-782-8279
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0397730026 01 NC NSC#
institution
Provider Business Practice Location Address Details
Address
354 Copperfield Blvd Ne
City
Concord
State
North Carolina
Zip
28025-2402
Phone Number
704-786-5122
Fax Number
704-782-8279
person
Provider Business Mailing Address Details
Address
354 Copperfield Blvd Ne
City
Concord
State
North Carolina
Zip
28025-2402
Phone Number
704-786-5122
Fax Number
704-782-8279
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
ARNP9332853 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5011714 (North Carolina)
Definition
Definition to come...
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