Graham, Angela

Graham, Angela is an individual health care provider with primary practice located at 1100 Highway 16 E , Carthage MS 39051-4222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Angela can be contacted via phone (601) 267-1470.

Contact Information

Primary practice address
1100 Highway 16 E Carthage MS 39051-4222
Phone: (601) 267-1470
Fax: (601) 267-1469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R855944 Mississippi

Profile Details

NPI number 1407884356
LBN Legal business name Graham, Angela
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407884356 NPPES
Mississippi MEDICAID 0123601

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