Provider Demographics
NPI:1962389585
Name:GRAHAM, SABRIAUNA KAYLA
Entity type:Individual
Prefix:
First Name:SABRIAUNA
Middle Name:KAYLA
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 DR MARTIN LUTHER KING JR DR APT 2
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-9464
Mailing Address - Country:US
Mailing Address - Phone:217-926-2901
Mailing Address - Fax:
Practice Address - Street 1:806 DR MARTIN LUTHER KING JR DR APT 2
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-9464
Practice Address - Country:US
Practice Address - Phone:217-926-2901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care