# VIVIAN GRACE PARHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881113652
- **Gender:** F
- **Credential:** MS RN AGPCNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 308301 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | 34016 | TN | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 10/30/2023