JENNIFER TAYLOR GRAHAM


Address: 2770 3rd Ave # S350, Lake Charles, LA 70601-8994
Phone: 3374946800

JENNIFER TAYLOR GRAHAM (NPI# 1235492778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235492778
Entity Type Individual
Full Name JENNIFER TAYLOR GRAHAM
Credential ANP
Practice Address 2770 3rd Ave # S350
Lake Charles
LA 70601-8994
Practice Telephone 3374946800
Practice Fax Number 3374946811
Mailing Telephone 3374946800
Mailing Fax Number 3374946811
Enumeration Date 2012-06-20
Last Update Date 2012-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP06581 LA Physician Assistants & Advanced Practice Nursing Providers

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1285864934 Jennifer C Graham Rehabilitation Practitioner 9808 Venice Blvd Ste 702, Culver City, CA 90232-6807 2009-07-15
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1366567570 Jennifer L Graham Physical Therapist 119 Asbury St, South Hamilton, MA 01982-1811 2007-03-20

Office Location

Street Address 2770 3RD AVE # S350
City LAKE CHARLES
State LA
Zip Code 70601-8994

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607396 Barbara Cotton Laughlin Nurse Practitioner 2770 3rd Ave # S350, Lake Charles, LA 70601-8994 2005-05-31
1578721478 Jarmon Charles Comeaux Internal Medicine 2770 3rd Ave # S350, Lake Charles, LA 70601-8994 2008-05-28
1164540175 Swlhs, Inc. Internal Medicine 2770 3rd Ave # S350, Lake Charles, LA 70601-8994 2007-03-27
1265558308 Michael A Bergeron Internal Medicine 2770 3rd Ave # S350, Lake Charles, LA 70601-8994 2007-03-21
1760466072 Melinda K Strickland Nurse Practitioner 2770 3rd Ave # S350, Lake Charles, LA 70601-8994 2005-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154747186 Dennis W. Kleinpeter Nurse Practitioner 503 W Sallier St, Lake Charles, LA 70601-5756 2014-03-14
1629377239 Hinton Np Services, LLC Nurse Practitioner 2822 Henderson Forest Dr, Lake Charles, LA 70605-2259 2011-03-22
1437390721 Dawn Marie Hinton Nurse Practitioner 4150 Nelson Rd Ste A3, Lake Charles, LA 70605-4169 2009-03-16
1689774259 Mary Jane Mckinnie Nurse Practitioner 905 11th St, Lake Charles, LA 70601-6230 2006-09-24
1164403630 Anna Marie Crawford Nurse Practitioner 555 S Ryan St, 101, Lake Charles, LA 70601-5724 2005-11-10
1962763714 Morgan Rae Gilmore Nurse Practitioner 3236 Kirkman St, Lake Charles, LA 70601-8640 2012-06-07
1174800569 Hollie Steffens Donnelly Nurse Practitioner 2802 Pineview St, Lake Charles, LA 70615-2063 2011-11-14
1083994347 Carolyn Rideaux Nurse Practitioner 2837 Ernest St, Lake Charles, LA 70601-8785 2011-08-18
1275811572 Karie J Savoy Nurse Practitioner 2770 3rd Ave Ste 350, Lake Charles, LA 70601-0404 2011-08-03
1700164290 Kara Leigh Babaz Nurse Practitioner 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 2011-08-01
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Competitor

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City LAKE CHARLES
Zip Code 70601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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