| Doctor Name: | MS. JERE MAPUANA GRAHAM |
| NPI Number: | 1447445549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC RX |
| License Number: | APRN257 |
| Business Practice Address: | 4520 Akia Rd Ste A Kapaa, HI - 967461615 |
| Business Phone Number: | 8086516779 |
| Business Fax Number: | 8088211670 |
| Mailing Address: | 6181 A Kawaihau Rd., KAPAA |
| State: | HI |
| Postal Code: | 967462613 |
| Phone Number: | 8086516777 |
| Fax Number: | 8088211670 |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | APRN257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |