Gavin, Cassidy Jo

Gavin, Cassidy Jo is an individual health care provider with primary practice located at 535 Jordan Dr , Monticello AR 71655-5714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gavin, Cassidy Jo can be contacted via phone (870) 367-6246.

Contact Information

Primary practice address
535 Jordan Dr Monticello AR 71655-5714
Fax: (855) 926-7383
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 122551 Arkansas

Profile Details

NPI number 1144989500
LBN Legal business name Gavin, Cassidy Jo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2021
Last updated Jan 31st, 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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