Individual
JULIE A GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
400 N 17TH ST, KEOKUK, IA 52632-3452
(319) 524-5734
(319) 524-5758
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 752-4653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
142186
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G095717
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429098114
—
MO
Enumeration date
02/09/2006
Last updated
07/27/2024
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