DERAINE H GRAHAM NP - NPI 1033228200 - Nurse Practitioner in Tifton, GA

Q: What is Deraine Graham's NPI number?

The NPI number for Deraine Graham is 1033228200. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Deraine Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Deraine Graham was last updated on March 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Deraine H Graham Np NPPES

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

DERAINE H GRAHAM NP (NPI 1033228200) is an individual nurse practitioner in Tifton, Georgia, licensed in Georgia (RN072968) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1033228200

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDERAINE H GRAHAMCredential: NP

Location Address2225 US HIGHWAY 41 NTifton, GA 31794

Mailing Address2225 Us Hwy 41 NTifton, GA 31794 · (229) 391-4100 · Fax (229) 391-4508

Phone(229) 391-4100

Fax(229) 391-4508

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateMarch 18, 2008

✔ NPI 1033228200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN072968

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2225 US HIGHWAY 41 N, Tifton, GA 31794

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