Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Stacey Deanne Graham, FNP-C

Individual provider Family Nurse Practitioner · NPI 1083963532

MS. Stacey Deanne Graham, FNP-C is a Nurse Practitioner in Chico, California. Qualified in 2011, 15 years ago. Practices with Enloe Medical Center, a 331-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2012
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1405 Magnolia Ave Ste C
Chico, CA 95926
Phone: (530) 332-7768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1531 Esplanade, Chico, CA 95926-3310 — (530) 332-7768

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21618 (CA)

Record details

NPI number1083963532
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESJuly 17, 2023
Certification dateJuly 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Enloe Medical Center — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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