Healthcare Provider Details

I. General information

NPI: 1154819027
Provider Name (Legal Business Name): CHERE ELIZABETH GRAHAM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 MCDOWELL ST
ASHEVILLE NC
28801-4435
US

IV. Provider business mailing address

PO BOX 100181
COLUMBIA SC
29202-3141
US

V. Phone/Fax

Practice location:
  • Phone: 828-202-5200
  • Fax:
Mailing address:
  • Phone: 852-202-5200
  • Fax: 336-996-9538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5010678
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: