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NPI Code Detail

MEDICARE: MS. CASSANDRA C JAMES-WEATHERSBY

MEDICARE: MS. CASSANDRA C JAMES-WEATHERSBY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist000000LA
2171400000XHealth & Wellness Coach00000CT

General Provider Information

NPI Number : 1346771805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CASSANDRA C JAMES-WEATHERSBY
Provider Business Mailing Address
First Line : 330 OAK HARBOR BLVD STE B
Second Line :
City : SLIDELL
State : LA
Zip : 70458-5703
Country : US
Telephone Number : 504-407-5131
Fax Number :
Provider Business Practice Location Address
First Line : 330 OAK HARBOR BLVD STE B
Second Line :
City : SLIDELL
State : LA
Zip : 70458-5703
Country : US
Telephone Number : 504-407-5131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2017
Last Update Date : 12/21/2023

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