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MR. JEREMY JAYME GRAHAM RN, MSN, NP-C
NPI 1841552924
Nurse Practitioner in Greenbrae, CA

Active since June 13, 2012
1100 S ELISEO DR STE 1, GREENBRAE, CA 94904(415) 514-5000(415) 502-5550 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeremy Jayme Graham Rn, Msn, Np-c NPPES

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

MR. JEREMY JAYME GRAHAM RN, MSN, NP-C (NPI 1841552924) is an individual nurse practitioner in Greenbrae, California, licensed in California (22686) and active in the NPI registry since June 2012. He maintains a secondary practice location in Greenbrae.

NPPES Registry Identity

NPI1841552924
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JEREMY JAYME GRAHAMCredential: RN, MSN, NP-C
Location Address1100 S ELISEO DR STE 1Greenbrae, CA 94904
Mailing Address8 Locksley Ave Apt 7fSan Francisco, CA 94122-3849 · (609) 674-8193 · Fax (415) 502-5550
Phone(415) 514-5000
Fax(415) 502-5550
Sole ProprietorNo
Enumeration DateJune 13, 2012
Last NPPES UpdateOctober 9, 2018
✔ NPI 1841552924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 22686
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN601208 (PA), 26NR14301200 (NJ), 829229 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 22686 (CA)
1100 S ELISEO DR STE 1, Greenbrae, CA 94904
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Secondary Practice Location 1

Location 11100 S Eliseo Dr Ste 1Greenbrae, CA 94904-2017 · Phone (415) 514-5000 · Fax (415) 502-5550

Other Providers at the Same Location NPPES 4

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

MRS. MARISOL HERNANDEZ MARTINEZ PA-C
Physician Assistant
1100 S ELISEO DR STE 1
GREENBRAE, CA 94904
Marin County (415) 514-6868
GARY M. SANCHEZ PA-C
Physician Assistant
1100 S ELISEO DR STE 1
GREENBRAE, CA 94904
Marin County (415) 514-6868
BLAKE E. S. TAYLOR MD
Neurological Surgery
1100 S ELISEO DR STE 1
GREENBRAE, CA 94904
Marin County (415) 514-6868
RISHI K WADHWA
Neurological Surgery
1100 S ELISEO DR STE 1
GREENBRAE, CA 94904
Marin County (415) 514-6868

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 Jeremy Graham's NPI number?

The NPI number for Jeremy Graham is 1841552924. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Jeremy Graham located?

Jeremy Graham practices at 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904. The listed phone number is (415) 514-5000.

What is Jeremy 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 Jeremy Graham was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.