Graham, Julie A

Graham, Julie A is an individual health care provider with primary practice located at 400 N 17Th St , Keokuk IA 52632-3452. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Graham, Julie A can be contacted via phone (319) 524-5734.

Contact Information

Primary practice address
400 N 17Th St Keokuk IA 52632-3452
Phone: (319) 524-5734
Fax: (319) 524-5758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 142186 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G095717 Iowa

Profile Details

NPI number 1649243619
LBN Legal business name Graham, Julie A
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 14th, 2024 - about 2 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 1649243619 NPPES
Missouri MEDICAID 429098114

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