Healthcare Provider Details

I. General information

NPI: 1568864296
Provider Name (Legal Business Name): JAMIE LYNN CASSANI APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 HIGHWAY K
O FALLON MO
63368-8675
US

IV. Provider business mailing address

2 GREENBANK DR
CHESTERFIELD MO
63005-7105
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 314-757-7794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2014034216
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: