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General NPI Number Information
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NPI Number | 1659835346
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Entity Type | Organization
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Legal Business Name | CASSANDRA THOMAS-JINGLES PSYCHIATRIC NURSE PRACTITIONER, LLC.
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Dates
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Enumeration Date | 01/26/2019
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2900 WESTFORK DR STE 401
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City | BATON ROUGE
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State | LA
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Zip | 70827-0004
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Country | US
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Telephone | 225-328-5551
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Fax | 225-230-1046
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | GEISMAR
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State | LA
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Zip | 70734-0484
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Country | US
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Telephone | 225-308-1425
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Fax | 225-230-1046
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Authorized Official
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Title or Position | OWNER
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Name | CASSANDRA LYNN THOMAS-JINGLES
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Credential | PMHNP
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Telephone | 225-328-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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