CASSANDRA MARIE JOHNSON


Address: 636 Hampshire St Ste 201, Quincy, IL 62301-3054
Phone: 2172246877

CASSANDRA MARIE JOHNSON (NPI# 1700358025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700358025
Entity Type Individual
Full Name CASSANDRA MARIE JOHNSON
Other Name CASSANDRA MARIE BROWN
Credential MSN, APRN, WHNP-BC
Practice Address 636 Hampshire St Ste 201
Quincy
IL 62301-3054
Mailing Address 4384 Maryland Ave
Saint Louis
MO 63108-2704
Practice Telephone 2172246877
Mailing Telephone 2283834444
Enumeration Date 2018-12-27
Last Update Date 2018-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
2018012101 MO Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 636 HAMPSHIRE ST STE 201
City QUINCY
State IL
Zip Code 62301-3054

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
1134749716 Bethany Nicole Jumps Pharmacist Broadway St & N 11th St, Quincy, IL 62301 2020-04-23
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
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1043851488 West Central Illinois Nutrition In Home Supportive Care 639 York St. Room 333, Quincy, IL 62301 2019-10-07
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1194255083 Michael Andrew Behrens Nurse Practitioner Broadway and 11th Street, Quincy, IL 62301 2017-06-14
1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
1114234499 Dale D. Shahan Dds Ltd Dentist 636 Hampshire Suite 102, Quincy, IL 62301 2010-09-08
1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467712109 Kate Cook Nurse Practitioner 2300 Crown Colony Dr, Suite 104, Quincy, MA 02169-0902 2012-05-28
1407808942 Susan Pozaic Nurse Practitioner 1250 Hancock St, Quincy, MA 02169-4330 2006-05-16
1699745869 Donna Jean Sewell Nurse Practitioner 278 Lasalle Lefall Dr, Quincy, FL 32351-5324 2006-01-23
1356311377 Mary Beth Downs Nurse Practitioner 278 Lasalle Lefall Dr, Quincy, FL 32351-5324 2006-01-23

Providers in the same taxonomy and state

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1033626262 Heather Ann San Juan Nurse Practitioner 613 S Poplar Ave, Elmhurst, IL 60126-4061 2018-01-09
1124530340 Kristy Wienstroer Nurse Practitioner 1191 Fortune Blvd, Shiloh, IL 62269-7377 2017-10-27
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Competitor

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City QUINCY
Zip Code 62301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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