Healthcare Provider Details

I. General information

NPI: 1558169169
Provider Name (Legal Business Name): CASIE BRESSETTE MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 PEYTON PKWY
COLLIERVILLE TN
38017-9707
US

IV. Provider business mailing address

61 PEYTON PKWY
COLLIERVILLE TN
38017-9707
US

V. Phone/Fax

Practice location:
  • Phone: 901-910-3246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024192810
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: