Cassandra Lee King, FNP-BC | |
820 Ca-88, Jackson, CA 95642 | |
(209) 223-7040 | |
(209) 223-7606 |
Full Name | Cassandra Lee King |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 820 Ca-88, Jackson, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053185686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95027499 (California) | Primary |
Entity Name | Heritage Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801666235 PECOS PAC ID: 3577908029 Enrollment ID: O20240223003698 |
Mailing Address | Practice Location Address |
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Cassandra Lee King, FNP-BC 3210 Traffic Way, Atascadero, CA 93422-2602 Ph: (805) 234-4823 | Cassandra Lee King, FNP-BC 820 Ca-88, Jackson, CA 95642 Ph: (209) 223-7040 |
Denise Lack, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642 Phone: 209-257-1722 Fax: 209-257-1726 | |
Ms. Lynne W Forrette, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 New York Ranch Rd, Suite C, Jackson, CA 95642 Phone: 209-223-2034 | |
Gloria Lee Kent, RN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Boulevard, Suite 2800, Jackson, CA 95642 Phone: 209-257-0177 Fax: 209-257-0176 | |
Marianne Elizabeth Lapointe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Court St Ste 7, Jackson, CA 95642 Phone: 209-223-2034 Fax: 209-223-2038 | |
Linda Marie Colliflower, RNC,NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12140 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400 | |
Jessica Anne Mccarthy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Court St Ste 7, Jackson, CA 95642 Phone: 209-223-2034 Fax: 209-223-2038 |