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General NPI Number Information
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NPI Number | 1366754707
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Entity Type | Individual
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Provider Name | CASSANDRA LYNN THOMAS-JINGLES
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Gender | Female
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 12097 OLD HAMMOND HWY STE I4
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City | BATON ROUGE
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State | LA
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Zip | 70816
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Country | US
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Telephone | 225-330-1762
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Fax |
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Provider Business Mailing Address
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Address Line | 12308 SUGAR MILL DR
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City | GEISMAR
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State | LA
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Zip | 70734-3253
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Country | US
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Telephone | 225-235-5469
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Fax | 225-230-1046
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP06189
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61540195
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP06189
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406995
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC005462
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License Number State | MD
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