NICOLE GRAHAM
NPI 1871248948
Peer Specialist in Newark, NJ
- Individual
- Female
- Peer Specialist
About NICOLE GRAHAM
This page provides the complete NPI Profile along with additional information for Nicole Graham, a provider established in Newark, New Jersey with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1871248948 assigned on February 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1871248948 Verify this NPI
- Provider Name
- NICOLE GRAHAM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1091 BROAD STREET NEWARK, NJ 07114
- Location Phone
- (973) 623-0600
- Mailing Address
- 103 LINCOLN PARK NEWARK, NJ 07102
- Mailing Phone
- (973) 623-0600
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-17-2022
- Last Update Date
- 02-17-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871248948, enumerated as an "individual" on February 17, 2022.
The provider is located at 1091 BROAD STREET NEWARK, NJ 07114 and the phone number is (973) 623-0600.
Peer Specialist with taxonomy code 175T00000X.
