Individual
CHRYSTAL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4140 MCKNIGHT RD STE D, TEXARKANA, TX 75503-0921
(855) 498-6767
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1150874
TX
363LF0000X
Family Nurse Practitioner
227526
AR
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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