National Provider Identifier

Jody Grahn, NP C

Jody Grahn, NP C is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Lockport, NY and a listed phone number of (716) 257-1248.

NPI 1700879020Lockport, NYAdult Health Nurse Practitioner

Source: public NPPES record, last updated October 06, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1700879020
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
August 23, 2005
Last Updated
October 06, 2022

Practice Location

  • 251 East Ave
  • Lockport, NY 14094-3825

Phone: (716) 257-1248

Mailing Address

  • 3117 Military RD
  • Niagara Falls, NY 14304-4813

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)

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Full Record
NPI
1700879020
Entity Type
Individual
Last Name
Grahn
First Name
Jody
Credential
NP C
Mailing Street Address
3117 Military RD
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-4813
Mailing Country
US
Mailing Phone
(716) 297-2052
Mailing Fax
(716) 215-6170
Practice Street Address
251 East Ave
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-3825
Practice Country
US
Practice Phone
(716) 257-1248
Practice Fax
(716) 215-6170
Enumeration Date
August 23, 2005
Last Updated
October 06, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 06, 2022
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
06835221 (NY, Medicaid)