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
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95036390 (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.