Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latisha Graham

Individual provider Adult Health Nurse Practitioner · NPI 1780052555

Latisha Graham is an Adult Health Nurse Practitioner in Loganville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

2701 Honey Locust Ct
Loganville, GA 30052-6024
Phone: (770) 694-3094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN212577 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN212577 (GA)
Adult Medicine Physician Taxonomy 207QA0505X · Licence A0615004 (GA)

Record details

NPI number1780052555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2015
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address2701 Honey Locust Ct, Loganville, GA 30052-6024

Other providers in Loganville