Individual
MS. SHANNON JANELLE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-C
Contact information
Practice address
DUKE UNIVERSITY MEDICAL CENTER 2301 ERWIN ROAD, DURHAM, NC 27710
(919) 684-8111
Mailing address
04276 HOSPITAL SOUTH BOX 3677, DURHAM, NC 27710-0001
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184446
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5005969
NC
Other
Enumeration date
11/15/2012
Last updated
07/29/2018
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