# MS. KASEY JO ZAWODNIAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194775544
- **Gender:** F
- **Credential:** RN, CPNP-AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 5018437 | NC | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 71013463A | IN | — |
| 363LP0222X | Critical Care Pediatric Nurse Practitioner | 146725 | MO | — |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 146725 | LICENSCE | MO |
| 01 | — | 774507 | RN LICENSE | TX |