Individual
DAVEDA JUNE GRAHAM
Active
Individual
DAVEDA JUNE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001320979
VA
163W00000X
Registered Nurse
RN596948
PA
363LA2200X
Adult Health Nurse Practitioner
0024187418
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP016107
PA
Other
Enumeration date
04/20/2013
Last updated
12/04/2025
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