Individual provider · Type 1 NPI

Kassidy Graham, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Lemon Grove, CA

NPI number 1457993461 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95036390 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1457993461

Kassidy Graham, PMHNP-BC's National Provider Identifier is 1457993461, issued on Oct 10, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lemon Grove, CA. The record was last updated on May 21, 2026.