Individual
ALYSSA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
4 HICKORY RIDGE RD STE 600, HILLSBORO, MO 63050-5117
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041479599
IL
163W00000X
Registered Nurse
2013004125
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025004767
MO
Other
Enumeration date
03/28/2025
Last updated
04/15/2025
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