1. Home
  2. Directory
  3. Arkansas
  4. West Memphis
  5. Nurse Practitioner
  6. NPI Profile

GRAHAM PRIMARY HEALTHCARE
NPI 1417361247
Nurse Practitioner - Primary Care in West Memphis, AR

Active since June 19, 2014
200 S RHODES ST STE C1, WEST MEMPHIS, AR 72301(870) 394-4387(870) 394-9751 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Graham Primary Healthcare NPPES

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

GRAHAM PRIMARY HEALTHCARE (NPI 1417361247) is a healthcare organization registered as a primary care in West Memphis, Arkansas and active in the NPI registry since June 2014. The organization lists Kendra Phillips, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417361247
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameGRAHAM PRIMARY HEALTHCARE
Location Address200 S RHODES ST STE C1West Memphis, AR 72301-4212
Mailing Address200 S Rhodes St Ste C1West Memphis, AR 72301-4212 · (870) 394-4387 · Fax (870) 394-9751
Phone(870) 394-4387
Fax(870) 394-9751
Organization SubpartNo
Authorized OfficialKendra PhillipsBusiness Office Manager · (870) 394-4387
Enumeration DateJune 19, 2014
✔ NPI 1417361247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
200 S RHODES ST STE C1, West Memphis, AR 72301
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Graham Primary Healthcare's NPI number?

The NPI number for Graham Primary Healthcare is 1417361247. It was assigned to this organization in the NPPES registry on June 19, 2014.

Where is Graham Primary Healthcare located?

Graham Primary Healthcare is located at 200 S Rhodes St Ste C1, West Memphis, AR 72301. The listed phone number is (870) 394-4387.

What is Graham Primary Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Graham Primary Healthcare was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.