Individual
JASON R CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1557 JANMAR RD, SNELLVILLE, GA 30078-5686
(678) 344-8900
(678) 666-5201
Mailing address
1557 JANMAR RD, SNELLVILLE, GA 30078-5686
(678) 344-8900
(678) 666-5201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN276837
GA
363LA2100X
Acute Care Nurse Practitioner
20223
TN
363LA2100X
Acute Care Nurse Practitioner
5007870
NC
363LF0000X
Family Nurse Practitioner
20223
TN
363LF0000X
Family Nurse Practitioner
281623
NC
363LF0000X
Family Nurse Practitioner
5007870
NC
Other
Enumeration date
07/28/2015
Last updated
01/28/2019
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