Graban, Jordon

Graban, Jordon is an individual health care provider with primary practice located at 650 State Street , Watertown NY 13601. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Graban, Jordon can be contacted via phone (315) 755-1251.

Contact Information

Primary practice address
650 State Street Watertown NY 13601
Phone: (315) 755-1251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 774422 New York
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 774422 New York
Nursing Service Providers / Registered Nurse 163W00000X 774422 New York

Profile Details

NPI number 1508647660
LBN Legal business name Graban, Jordon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2023
Last updated Oct 13th, 2023 - 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 1508647660 NPPES
New York Other 774422 NEW YORK STATE DEPARTMENT OF EDUCATION

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