Corinna Fiona Graham, LPN
Individual provider Active NPI Licensed Practical Nurse · Harriman, TN
NPI 1528596236 · NPPES record last updated May 24, 2017
Key facts
- NPI
- 1528596236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0000087293 (TN)
- Practice address
- 127 Amanda LN
Harriman, TN 37748-4750 - Phone
- (865) 361-0947
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000087293 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | 0000087293 | TN | Yes |
Addresses
Primary practice location
127 Amanda LN
Harriman, TN 37748-4750
Mailing address
127 Amanda LN
Harriman, TN 37748-4750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624094600 | Other | DOL |
Other providers in Harriman, TN
- Bethanie Gilmore
- Amanda L Godsey
- Jessica Jean Godsey
- Jill Kristina Goldston
- Garry L Gordon II
- Kristina M Graham
- Jackie Lynn Greene-Gunter
- Sarah C. Greene
- Doyle Alfred Griffis
- Griffith Family Pharmacy of Roane County
All providers in Harriman, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.