SearchGeorgia363LA2200X

Latisha Graham

NPI 1780052555 · on the registry since 2015 · sole proprietor

Practice

Address
2701 Honey Locust Ct
Loganville, GA 30052
Phone
(770) 694-3094

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
207QA0505X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia