Jacqueline R Cassidy (NPI# 1619177417, PAC ID# 5799725578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619177417 |
| PAC ID by PECOS | 5799725578 |
| Professional Enrollment ID | I20050511000790 |
| Full Name | Jacqueline R Cassidy |
| Organization Legal Name | GREENE FAMILY MEDICINE, APMC |
| Address |
216 Park St Krotz Springs LA 70750 |
| Phone Number | 3375948958 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224932827 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 216 Park St, Krotz Springs, LA 70750 | 3375948958 | GREENE FAMILY MEDICINE, APMC |
| Organization Legal Name | GREENE FAMILY MEDICINE, APMC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth L Martin | Nurse Practitioner | Greene Family Medicine, Apmc | 216 Park St, Krotz Springs, LA 70750 |
| Craig H Greene | Family Medicine | Greene Family Medicine, Apmc | 2967 S Union St, Opelousas, LA 70570-5740 |
| Street Address |
216 PARK ST |
| City | KROTZ SPRINGS |
| State | LA |
| Zip | 70750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth L Martin | Nurse Practitioner | Greene Family Medicine, Apmc | 216 Park St, Krotz Springs, LA 70750 |
| City | KROTZ SPRINGS |
| Zip Code | 70750 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KROTZ SPRINGS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline R Cassidy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.