Provider Demographics
NPI:1346827342
Name:GRAHAM, BRITTANY KAYE (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KAYE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-4660
Mailing Address - Country:US
Mailing Address - Phone:903-741-1101
Mailing Address - Fax:
Practice Address - Street 1:120 FARM ROAD 2825
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75426-3348
Practice Address - Country:US
Practice Address - Phone:903-427-2201
Practice Address - Fax:903-427-3204
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1021644363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner