Provider Demographics
NPI:1013636463
Name:BARRON-GRAHAM, CHRISTOPHER VICTOR (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:VICTOR
Last Name:BARRON-GRAHAM
Suffix:
Gender:M
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 E DAVIE ST APT 108
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-3037
Mailing Address - Country:US
Mailing Address - Phone:650-464-5568
Mailing Address - Fax:
Practice Address - Street 1:4220 APEX HWY STE 160
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5295
Practice Address - Country:US
Practice Address - Phone:919-897-8784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016803363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care