Individual
VANESSA BRISTOW GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7558
(919) 934-7554
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
(984) 215-4111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F07161019
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5008843
NC
Other
Enumeration date
08/09/2016
Last updated
05/13/2026
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