CASSIDY LYNN GRAHAM AGACNP
NPI 1619550423
Nurse Practitioner - Acute Care in Chesterfield, MO

Active since April 29, 2021
1036 TOWN AND COUNTRY CROSSING DR, CHESTERFIELD, MO 63017(314) 833-9000 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cassidy Lynn Graham Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY LYNN GRAHAM AGACNP (NPI 1619550423) is an individual acute care provider in Chesterfield, Missouri, licensed in Missouri (2021005553) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1619550423
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCASSIDY LYNN GRAHAMCredential: AGACNP
Location Address1036 TOWN AND COUNTRY CROSSING DRChesterfield, MO 63017-0610
Mailing Address1251 Strassner Dr Unit 2313Saint Louis, MO 63144-1881 · (309) 319-3368
Sole ProprietorYes
Enumeration DateApril 29, 2021
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1619550423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 2021005553
1036 TOWN AND COUNTRY CROSSING DR, Chesterfield, MO 63017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassidy Graham's NPI number?

The NPI number for Cassidy Graham is 1619550423. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Cassidy Graham located?

Cassidy Graham practices at 1036 Town And Country Crossing Dr, Chesterfield, MO 63017. The listed phone number is (314) 833-9000.

What is Cassidy Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Cassidy Graham was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.