Vanessa Graham Np

LBN: Jem Behavioral Health Pllc
Vanessa Graham Np is an health care organization with primary practice located at 5960 Fairview Rd Ste 400 , Charlotte NC 28210-3119. The organization recently has 6 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Agencies / Community/Behavioral Health is the primary health care specialty. Jem Behavioral Health Pllc can be contacted via phone (704) 267-6905, or through Graham, Vanessa via phone (980) 483-3015.

Contact Information

Primary practice address
5960 Fairview Rd Ste 400 Charlotte NC 28210-3119
Phone: (704) 267-6905
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Vanessa FNP/PMHNP
Phone: (980) 483-3015

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1659940823
LBN Legal business name Jem Behavioral Health Pllc
DBA Doing business as Vanessa Graham Np
Authorized official Graham, Vanessa FNP/PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2021
Last updated Jul 18th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659940823 NPPES
North Carolina MEDICAID 1336693266

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