DR. JACKIE LYNN GRAHAM IV M.D.
NPI 1497851166
Dermatology in Roswell, NM
About Dr. Jackie Lynn Graham Iv M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKIE LYNN GRAHAM IV M.D. (NPI 1497851166) is an individual dermatology provider in Roswell, New Mexico, licensed in New Mexico (74-39) and active in the NPI registry since September 2006.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackie Graham's NPI number?
The NPI number for Jackie Graham is 1497851166. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Dr. Jack L Graham M.D..
Where is Jackie Graham located?
Jackie Graham practices at 1600 SE Main St Ste E, Roswell, NM 88203. The listed phone number is (505) 623-8100.
What is Jackie Graham's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Jackie Graham was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.