Individual
DR. CORA JOYCE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,CNS, APRN, FNP
Contact information
Practice address
517 N RAMPART ST, NEW ORLEANS, LA 70112-3503
(504) 903-5401
(504) 599-1057
Mailing address
517 N RAMPART ST, NEW ORLEANS, LA 70112-3503
(504) 903-5401
(504) 599-1057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO 2169
LA
364S00000X
Clinical Nurse Specialist
APO2169
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12310562
CAQH
LA
05
—
1894397
—
LA
Enumeration date
05/07/2008
Last updated
06/14/2012
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