Individual
KASSIDY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(925) 813-2112
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95187017
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95187017
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95036090
CA
Other
Enumeration date
10/10/2019
Last updated
04/25/2026
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