Kassidy Graham, PMHNP-BC - Nurse Practitioner in Lemon Grove, CA

Kassidy Graham, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Lemon Grove, California. Kassidy Graham is licensed to practice in California (license number 95036390) and her current practice location is 2049 Skyline Dr, Lemon Grove, California. She can be reached at her office (for appointments etc.) via phone at (925) 813-2112.

NPI number for Kassidy Graham is 1457993461 and her current mailing address is 1400 N Johnson Ave Ste 101, El Cajon, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457993461.

Contact Information

Kassidy Graham, PMHNP-BC
2049 Skyline Dr,
Lemon Grove, CA 91945-4221
(925) 813-2112
Not Available

Map and Direction




Provider's Profile

Full NameKassidy Graham
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2049 Skyline Dr, Lemon Grove, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457993461
  • Provider Enumeration Date: 10/10/2019
  • Last Update Date: 05/21/2026

Medical Identifiers

Medical identifiers for Kassidy Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457993461NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95036390 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kassidy Graham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kassidy Graham, PMHNP-BC
1400 N Johnson Ave Ste 101,
El Cajon, CA 92020-1651

Ph: () -
Kassidy Graham, PMHNP-BC
2049 Skyline Dr,
Lemon Grove, CA 91945-4221

Ph: (925) 813-2112

Reviews and Comments


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