MRS. MARY JO MCNETT GRAHAM RN
NPI 1104003268
Nurse Practitioner in Minneapolis, MN

Q: What is Mary Jo Graham's NPI number?

The NPI number for Mary Jo Graham is 1104003268. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Q: What is Mary Jo 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 Mary Jo Graham was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2008

4730 CHICAGO AVE, MINNEAPOLIS, MN 55407(952) 883-6805 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mary Jo Mcnett Graham Rn NPPES

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

MRS. MARY JO MCNETT GRAHAM RN (NPI 1104003268) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (98) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1104003268

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARY JO MCNETT GRAHAMCredential: RN

Location Address4730 CHICAGO AVEMinneapolis, MN 55407-3570

Mailing Address8170 33rd Ave SBloomington, MN 55425-4516 · (952) 883-6805

Phone(952) 883-6805

Sole ProprietorNo

Enumeration DateJanuary 30, 2008

Last NPPES UpdateJuly 23, 2020

NPPES CertifiedJuly 23, 2020

✔ NPI 1104003268 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 MN · 98

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.

4730 CHICAGO AVE, Minneapolis, MN 55407

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE W ROCK MD

Family Medicine (Geriatric Medicine)

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

BETHEL M AVERBECK MD

Internal Medicine

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

LEANN M WEST M.D.

Pediatrics

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 313-0000

MRS. TAMARA ANN ERSKINE

Nurse Practitioner

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

CARLY ELIZABETH KILGORE NP

Nurse Practitioner

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

SARAH ELIZABETH OSENDORF NP-C

Nurse Practitioner

4730 CHICAGO AVE, MS 26602G
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

DR. GEOFFREY GEORGES GERARDIN

Family Medicine

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 313-0000

ANGELA NEVIN APNP

Nurse Practitioner

4730 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (952) 883-6805

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 Mary Jo Graham's NPI number?

The NPI number for Mary Jo Graham is 1104003268. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Where is Mary Jo Graham located?

Mary Jo Graham practices at 4730 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (952) 883-6805.

What is Mary Jo Graham's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Jo Graham was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.