Jordon Graban

NPI #1508647660 in Watertown, New York

Provider Information

NPI Number: 1508647660
Entity Type: Individual
Name: Jordon Graban
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Oct 13, 2023
Last Updated: Oct 13, 2023

Practice Location

Address: 650 STATE STREET
City: Watertown
State: New York
ZIP Code: 13601
Phone: (315) 755-1251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	163WA0400X
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent — Psychiatric/Mental Health, Child & Adolescent	163WP0807X
Registered Nurse	163W00000X	Primary

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