person
Jody Grahn, NPC
Adult Health Nurse Practitioner in Lockport, New York
NPI 1700879020

Jody Grahn is an Adult Health Nurse Practitioner based in Niagara Falls, NY and is specialized in Adult Health. Jody Grahn practices in Lockport, NY and has the professional credentials of NPC. The NPI Number for Jody Grahn is 1700879020 and holds a License No. 136905 (New York).

The current practice location address for Jody Grahn is 251 East Ave, Lockport, NY and can be reached out via phone at 716-257-1248 and via fax at 716-215-6170.

Location: 251 East Ave, Lockport, NY, 14304-4813
person
Provider Profile Details
NPI Number
1700879020
Provider Name
Jody Grahn
Credential
NPC
Provider Entity Type
Individual
Gender
Female
Address
251 East Ave, Lockport, NY, 14304-4813
Phone Number
716-257-1248
Fax Number
716-215-6170
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06835221 01 NY MEDICAID
institution
Provider Business Practice Location Address Details
Address
251 East Ave
City
State
Zip
14094-3825
Phone Number
716-257-1248
Fax Number
716-215-6170
person
Provider Business Mailing Address Details
Address
251 East Ave
City
State
Zip
14094-3825
Phone Number
716-257-1248
Fax Number
716-215-6170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
136905 (Georgia)
Definition
Definition to come...
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