Mona Jill Graham Alexander, FNP-BC, CNOR, RNFA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R865316 Issued in MS

Practice address

6169 Hwy 98 W
Suite 30
Hattiesburg, MS 39402

Phone

(601) 602-5000

Fax

(601) 602-5003

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Mona Jill Graham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1053496489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 HWY 98 W",
            "address_2": "SUITE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-602-5000",
            "fax_number": "601-602-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 HWY 98 W",
            "address_2": "SUITE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-602-5000",
            "fax_number": "601-602-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM ALEXANDER",
        "first_name": "MONA",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MS",
            "license": "R856316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "GRAHAM",
            "middle_name": "JILL",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trenton Edward Gould, PHD, ATC
• Alexis Goza, LMSW
• Harry Ellis Goza Jr., DDS
• Grace Healthcare DME
• Clara Lynn Grace, FNP
• Deborah N Graham, LCSW
• Elise Burton Graham, D.M.D.
• Erik Graham
• Jacob Martin Graham, M.D.
• Sarah Elizabeth Graham

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.