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Individual

LESLIE ELAINE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGNP-C

Contact information

Practice address
1455 UNION AVE, MEMPHIS, TN 38104-6727
(901) 726-6655
(901) 726-9056
Mailing address
47 S MENDENHALL RD, MEMPHIS, TN 38117-3315
(901) 581-6414

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
214186
TN
363L00000X
Nurse Practitioner
Primary
38284
TN

Other

Enumeration date
02/21/2025
Last updated
08/01/2025
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