JIMMICA GRAHAM RN NPI 1619003761

NPI Information

  • NPI: 1619003761
  • Provider Name: JIMMICA GRAHAM, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 400 N PEPPER AVE
    COLTON, CA
    ZIP 92324
  • Phone: (909) 580-1000

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NPI Details

Jimmica Graham, RN is a family nurse practitioner in Colton, CA. Jimmica Graham, RN NPI is 1619003761. 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:

400 N PEPPER AVE
COLTON, CA
ZIP 92324-801
Phone: (909) 580-1000

The enumeration date for this NPI number is 2/25/2007 and was last updated on 2/5/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse796326CALIFORNIANo
2164X00000XLicensed Vocational NurseVN199452CALIFORNIANo
3363LF0000XNurse PractitionerFamily95028957CALIFORNIAYes

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: 11/21/2025

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