IndividualActive
Mary Graham, ARNP
NPI 1740378579 · Adult Health Nurse Practitioner · Lake City, FL
Provider details
- NPI number
- 1740378579
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- ARNP460472 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
619 S Marion Ave
Lake City, FL 32025-5808
Phone: (180) 930-8838
Fax: (386) 719-3622
Street-level locationGet directions
Mailing address
5127 Nw 62nd St
Gainesville, FL 32653-4073
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2008-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.