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NPI Code Detail

MEDICARE: MICHELLE SLOAN GRAHAM CRNP

MEDICARE: MICHELLE SLOAN GRAHAM CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-140208AL

General Provider Information

NPI Number : 1255894994
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SLOAN GRAHAM CRNP
Provider Business Mailing Address
First Line : 2941 POINT MALLARD PKWY SE STE N
Second Line :
City : DECATUR
State : AL
Zip : 35603-5760
Country : US
Telephone Number : 256-432-2822
Fax Number : 256-432-2825
Provider Business Practice Location Address
First Line : 2941 POINT MALLARD PKWY SE STE N
Second Line :
City : DECATUR
State : AL
Zip : 35603-5760
Country : US
Telephone Number : 256-432-2822
Fax Number : 256-432-2825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2019
Last Update Date : 01/02/2025

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Directions to “ MICHELLE SLOAN GRAHAM CRNP” Practice Location

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