Healthcare Provider Details

I. General information

NPI: 1043600638
Provider Name (Legal Business Name): CHRISTY MICHELLE CASSAS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 FORDHAM BLVD STE 100
CHAPEL HILL NC
27514-2301
US

IV. Provider business mailing address

1830 FORDHAM BLVD STE 100
CHAPEL HILL NC
27514-2301
US

V. Phone/Fax

Practice location:
  • Phone: 919-364-3312
  • Fax: 984-974-8747
Mailing address:
  • Phone: 919-364-3312
  • Fax: 984-974-8747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number231160
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: