Individual provider · Type 1 NPI

Kystal Nicole Johnson-Graham

Psychiatric/Mental Health Nurse Practitioner · Shelton, CT

NPI number 1730071010 Active

Practice location

26 Lark Ln
Shelton, CT 06484-2621

Call (203) 705-8199 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X18360 (CT)

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

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About NPI 1730071010

Kystal Nicole Johnson-Graham's National Provider Identifier is 1730071010, issued on Jul 19, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shelton, CT. The record was last updated on Sep 24, 2026.