# MRS. CASSIDY RAE CHATHAM JOHNS

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

## Provider details

- **NPI number:** 1972973113
- **Gender:** F
- **Credential:** N.P

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN002586 | NV | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | TAP8189 | AZ | — |
| 363LF0000X | Family Nurse Practitioner | TAP8190 | AZ | — |

## Other

- **Enumeration date:** 09/30/2015
- **Last updated:** 03/17/2018