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MRS. DEUNDRA LORAINE GRAHAM FNP
NPI 1013669811
Nurse Practitioner - Family in Evans, GA

Active since January 22, 2022
5110 WELLS DR, EVANS, GA 30809(706) 664-4106 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2022, Jan 22, 2022 (2 updates tracked since 2022).

About Mrs. Deundra Loraine Graham Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEUNDRA LORAINE GRAHAM FNP (NPI 1013669811) is an individual family provider in Evans, Georgia, licensed in Georgia (RN206205) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1013669811
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEUNDRA LORAINE GRAHAMCredential: FNP
Location Address5110 WELLS DREvans, GA 30809-7056
Mailing Address50 S B B King BlvdMemphis, TN 38103-2626 · (901) 436-1381
Phone(706) 664-4106
Sole ProprietorNo
Enumeration DateJanuary 22, 2022
Last NPPES UpdateMay 9, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1013669811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN206205
5110 WELLS DR, Evans, GA 30809
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deundra Graham's NPI number?

The NPI number for Deundra Graham is 1013669811. It was assigned to this individual provider in the NPPES registry on January 22, 2022.

Where is Deundra Graham located?

Deundra Graham practices at 5110 Wells Dr, Evans, GA 30809. The listed phone number is (706) 664-4106.

What is Deundra Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Deundra Graham was last updated on May 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.