Graham, Jennifer Taylor

Graham, Jennifer Taylor is an individual health care provider with primary practice located at 2770 3Rd Ave Ste 350 , Lake Charles LA 70601-0404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Graham, Jennifer Taylor can be contacted via phone (337) 494-2750.

Contact Information

Primary practice address
2770 3Rd Ave Ste 350 Lake Charles LA 70601-0404
Phone: (337) 494-2750
Fax: (337) 494-2760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP06581 Louisiana

Profile Details

NPI number 1235492778
LBN Legal business name Graham, Jennifer Taylor
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Apr 27th, 2022 - 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 1235492778 NPPES
Louisiana Other AP06581 STATE LICENSE
Louisiana MEDICAID 2530984 STATE LICENSE

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