Jacqueline Graham, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

26NO10925200 Issued in NJ

Practice address

1580 Route 9 N
Cape May Court House, NJ 08210-1416

Phone

(609) 451-1125

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1912533712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 ROUTE 9 N",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101416",
            "telephone_number": "609-451-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 ROUTE 9 N",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101416",
            "telephone_number": "609-451-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JACQUELINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "26NO10925200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE BOARD OF NURSING",
            "identifier": "26NO10925200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "1580 Route 9 N",
            "city": "Cape May Court House",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082101416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edmund Gibson, L.AC
• Melanie Janine Glassford, APN-C
• Barbara Golla, CRNA
• Colleen Goodwin, PT
• Angelika Bernadeta Gorka, MD
• Daniel David Gray, PT, DPT
• Gregory Defelice DMD LLC
• Srilaxmi Gujjula, MD
• Robert R Hackford Jr., MD
• Maisie L Hahn, D.C.

• Addiction (Substance Use Disorder) Registered Nurse in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.