Individual
JACQUELINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1580 ROUTE 9 N, CAPE MAY COURT HOUSE, NJ 08210-1416
(609) 451-1125
Mailing address
1580 ROUTE 9 N, CAPE MAY COURT HOUSE, NJ 08210-1416
(609) 451-1125
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NO10925200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NO10925200
NJ STATE BOARD OF NURSING
NJ
Enumeration date
03/13/2020
Last updated
03/13/2020
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