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

Mrs. Angela Graham, CFNP

Individual provider Family Nurse Practitioner · NPI 1407884356

Mrs. Angela Graham, CFNP is a Nurse Practitioner in Sebastopol, Mississippi. Qualified in 2000, 26 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
26
Licensed in
MS
In the registry since
2006

Practice location Address checks out

17509 Highway 21 S
Sebastopol, MS 39359-0082
Phone: (601) 267-1320
Fax: (601) 267-5422
Show map & directions

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

Additional practice locations (1)

  • 1100 Highway 16 E, Carthage, MS 39051-4222 — (601) 267-1470

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R855944 (MS)

Record details

NPI number1407884356
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Sebastopol