Individual
AMY LYNN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
27386 CORRONDALE DR, PERRYSBURG, OH 43551
(567) 336-4662
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.18680
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.18680-NP
OH
Other
Enumeration date
03/15/2016
Last updated
02/13/2019
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