IndividualActive
Brent Graham
NPI 1255011813 · Adult Health Nurse Practitioner · Hammond, LA
Provider details
- NPI number
- 1255011813
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 231115 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15770 Paul Vega MD Dr Ste 108a
Hammond, LA 70403-1475
Phone: (985) 230-1870
Fax: (985) 230-7461
Approximate (ZIP-level) locationGet directions
Mailing address
49427 Tullos Rd
Franklinton, LA 70438-3855
Additional practice locations (2)
- 15770 Paul Vega MD Dr Ste 108aHammond, LA 70403-1475Phone: (985) 230-1870Fax: (985) 230-7461
- 15837 Paul Vega DrHammond, LA 70403-1495Phone: (985) 230-2480
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2023-08-11
- Certified
- 2023-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.