Individual
JASON CHRISTOPHER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-C
Contact information
Practice address
1304 ROUTE ROUTE 47 SOUTH, UNIT WU-N - 2ND FLOOR, RIO GRANDE, NJ 08242-1416
(609) 451-1125
Mailing address
1304 ROUTE ROUTE 47 SOUTH, UNIT WU-N - 2ND FLOOR, RIO GRANDE, NJ 08242-1416
(609) 451-1125
(609) 438-7944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR09497300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00877100
NJ
Other
Enumeration date
01/09/2015
Last updated
10/15/2025
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