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DEBRA JEANNE GRAHAM DNP NPI 1790757623


NPI Information

NPI: 1790757623
Provider Name: DEBRA JEANNE GRAHAM, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4537 COLLEGE AVE
SAN DIEGO, CA
ZIP 92115
Phone: (619) 229-1895
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Debra Jeanne Graham, DNP is a psychiatric/mental health nurse practitioner in San Diego, CA with 22 years of experience. Debra Jeanne Graham, DNP NPI is 1790757623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4537 COLLEGE AVE
SAN DIEGO, CA
ZIP 92115-010
Phone: (619) 229-1895
Fax: (619) 229-1837

The NPI 1790757623 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 7/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse657712CALIFORNIANo
2163W00000XRegistered Nurse136486TENNESSEENo
3363LP0200XNurse PractitionerPediatrics15657CALIFORNIANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health15657CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.