Individual
MRS. ANGELA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
17509 HIGHWAY 21 SOUTH, SEBASTOPOL, MS 39359-0082
(601) 267-1320
(601) 267-5422
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R855944
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123601
—
MS
Enumeration date
06/29/2006
Last updated
11/12/2025
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