# NICOLE TERESA GRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528463916
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN9314135 | FL | Yes |
| 363L00000X | Nurse Practitioner | NP336359 | GA | Yes |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 05/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P5040 | MEDICARE HF | FL |