Graham, Jacqueline

Graham, Jacqueline is an individual health care provider with primary practice located at 1580 Route 9 N , Cape May Court House NJ 08210-1416. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Graham, Jacqueline can be contacted via phone (609) 451-1125.

Contact Information

Primary practice address
1580 Route 9 N Cape May Court House NJ 08210-1416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 26NO10925200 New Jersey

Profile Details

NPI number 1912533712
LBN Legal business name Graham, Jacqueline
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Mar 13th, 2020 - about 4 years ago

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 1912533712 NPPES
New Jersey Other 26NO10925200 NJ STATE BOARD OF NURSING

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