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Individual
CASSANDRA FORTUNE
Active
Individual
CASSANDRA FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, MBA, RN, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
744800
NY
164W00000X
Licensed Practical Nurse
26NP07167800
NJ
164W00000X
Licensed Practical Nurse
318569-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406112
NY
Other
Enumeration date
10/21/2014
Last updated
06/21/2025
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