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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. OMEGA DENISE GRAHAM, PMHNP

Active Sole Proprietor

MRS. OMEGA DENISE GRAHAM, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LAKE CITY, South Carolina. NPI 1225606890 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · LAKE CITY, SC

Registration Details

NPI Number
1225606890
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2021 (5.1479649448066 yrs)
Last Updated
Jun 11, 2021
License
24831 (SC)
Sole Proprietor
Yes

Practice Information

Address
378 WALLACE ST
LAKE CITY, SC, 295604108
Browse SC providers · Browse ZIP 29560
Phone
8433730569
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.