Stephanie Graham, NP
Nurse Practitioner in Saint Peters, MO. Individual provider (NPI-1).
NPI number1306238704
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1306238704
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Graham
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2015
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2014038747 | MO | Yes |
| 207Q00000X | Family Medicine | 2014038747 | MO |
Practice location
201 Bjc Saint Peters Dr Ste 200Saint Peters, MO 63376-3386
Phone 636-916-7235 · Fax 636-916-7236
Mailing address
Po Box 959354Saint Louis, MO 63195-9354
Phone 636-916-7235 · Fax 636-916-7236
Other practice locations
100 Brevco Plz Ste 107
Lake St Louis, MO 63367-1392
Lake St Louis, MO 63367-1392
Phone 636-561-3396
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