CARLA JEAN GRAHAM

PORTSMOUTH, VA
NPI1528694783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71012726A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28164485A)
Enumeration Date2020-03-19
Last Update Date2022-07-15
Business Address
CARLA JEAN GRAHAM
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-5000
Mailing Address
CARLA JEAN GRAHAM
2211 SHIPS XING
CHESAPEAKE, VA 23323-4028
Phone number: 260-273-5923