Individual
NICOLE JEROLYN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NORTHVIEW RD, LINCOLN, NE 68521-1383
(402) 420-2020
(314) 741-4947
Mailing address
506 HILLTOP AVE, STANTON, IA 51573-8029
(712) 370-2939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1642
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
01/16/2026
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