Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATISHA GRAHAM
Active Sole ProprietorLATISHA GRAHAM is a Adult Health Nurse Practitioner healthcare provider located in BUFORD, Georgia. NPI 1780052555 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · BUFORD, GA
Registration Details
- NPI Number
- 1780052555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2015 (10.893072166171 yrs)
- Last Updated
- Sep 25, 2015
- Licenses
-
A0615004 (GA)RN212577 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3188 SAG HARBOR CTBUFORD, GA, 305198604Browse GA providers · Browse ZIP 30519
- Phone
- 9732205388
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in BUFORD, GA
| Name | Credential | NPI |
|---|---|---|
| JODIE J SALO | ANP | 1215078902 |
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.