Basic Information
Provider Information
NPI: 1245262914
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAFF
FirstName: JOYCE
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.,RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 711 JEFFERSON AVE
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381055003
CountryCode: US
TelephoneNumber: 9014486511
FaxNumber: 9014487097
Practice Location
Address1: 711 JEFFERSON AVE
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381055003
CountryCode: US
TelephoneNumber: 9014486511
FaxNumber: 9014487097
Other Information
ProviderEnumerationDate: 07/06/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC1600XRN0000134985TNY Nursing Service ProvidersRegistered NurseContinuing Education/Staff Development

No ID Information.


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