Provider Demographics
NPI:1649038712
Name:GRAHAM, JULIA LORRAINE (MSN, AGNP-C, APRN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:LORRAINE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MSN, AGNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CEDAR HILL DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9382
Mailing Address - Country:US
Mailing Address - Phone:804-543-9476
Mailing Address - Fax:
Practice Address - Street 1:5102 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1420
Practice Address - Country:US
Practice Address - Phone:919-680-1045
Practice Address - Fax:919-471-1298
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019763363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care