Baine, Casey Banahan

Baine, Casey Banahan is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Baine, Casey Banahan can be contacted via phone (601) 200-3631.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216-4606
Phone: (601) 200-3631
Fax: (601) 200-0159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 904142 Mississippi

Profile Details

NPI number 1245835263
LBN Legal business name Baine, Casey Banahan
Credentials ACAGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2020
Last updated Nov 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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