DR. JEAN GRAHAM M.D.
NPI 1508920661
Specialist in Farmington, NM

Active since December 21, 2006
4801 N BUTLER AVE, FARMINGTON, NM 87401(505) 324-8375 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jean Graham M.d. NPPES

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

DR. JEAN GRAHAM M.D. (NPI 1508920661) is an individual specialist in Farmington, New Mexico, licensed in New Mexico (97-254) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1508920661
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. JEAN GRAHAMCredential: M.D.
Location Address4801 N BUTLER AVEFarmington, NM 87401-6002
Mailing Address1654 County Road 120Hesperus, CO 81326-9752 · (970) 259-7136
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508920661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NM · 97-254
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4801 N BUTLER AVE, Farmington, NM 87401

Other Identifiers 4

Other84-1497491-001CO · Rocky Mt Hmo
OtherNM012425NM · Blue Cross Blue Shield Nm
Medicare UPING55809NM
MedicaidQ2833NM

Other Providers at the Same Location NPPES 9

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

Podiatrist (Foot Surgery)
4801 N BUTLER AVE, SUITE 9102
FARMINGTON, NM 87401
Anesthesiology
4801 N BUTLER AVE, SUITE 5000
FARMINGTON, NM 87401
Internal Medicine (Gastroenterology)
4801 N BUTLER AVE, SUITE 13102
FARMINGTON, NM 87401
Nurse Practitioner (Psychiatric/Mental Health)
4801 N BUTLER AVE
FARMINGTON, NM 87401
Family Medicine
4801 N BUTLER AVE, SUITE 13101
FARMINGTON, NM 87401
Nurse Practitioner (Psychiatric/Mental Health)
4801 N BUTLER AVE, STE 1101
FARMINGTON, NM 87401
Podiatrist (Foot & Ankle Surgery)
4801 N BUTLER AVE, STE 14102
FARMINGTON, NM 87401
Clinic/Center (Sleep Disorder Diagnostic)
4801 N BUTLER AVE, STE 6102
FARMINGTON, NM 87401

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 Jean Graham's NPI number?

The NPI number for Jean Graham is 1508920661. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Jean Graham located?

Jean Graham practices at 4801 N Butler Ave, Farmington, NM 87401. The listed phone number is (505) 324-8375.

What is Jean Graham's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jean Graham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.