Individual
BRANDY NICHOLE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038-2239
(469) 200-3272
Mailing address
851 HIGHWAY 287 N, MANSFIELD, TX 76063-2664
(817) 842-2500
(817) 842-2599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
735423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322921301
—
TX
Enumeration date
03/06/2013
Last updated
02/21/2023
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