Individual
MEKI JACOBS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
206 WARRIOR TRL, WHITEVILLE, NC 28472-2307
(910) 599-8113
Mailing address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
146393
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831443993
—
NC
05
—
NP3755
—
SC
Enumeration date
10/28/2012
Last updated
09/26/2018
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