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.
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)
- Adult Health Nurse Practitioner (363LA2200X)
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 06835221 (NY, Medicaid)