Individual
JENNIFER ANNE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2841 AVENUE G, WHITE CITY, OR 97503-3024
(541) 826-5252
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10017255
OR
Other
Enumeration date
10/13/2023
Last updated
03/16/2026
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