Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 24812 | TN |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 24812 | TN |
NPI | 1225512346 |
---|---|
Provider Name | Dr. Cassie Lynn Nations |
First Address | Hernando, MS 38632-5909 |
Second Address | Memphis, TN 38103-2807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2018 |
Last Update Date | 25/09/2018 |