Individual
CASSIE STAR GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12525 PHILIPS HWY STE 205&206, JACKSONVILLE, FL 32256-3739
(904) 880-1399
(904) 880-2946
Mailing address
1909 BEACH BLVD STE 102, JACKSONVILLE BEACH, FL 32250-2643
(904) 246-2752
(904) 246-2758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9217073
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN9217073
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ELIGIBLE
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003466100
—
FL
01
—
47932
UNIVERSAL HEALTHCARE
FL
01
—
710410
WELLCARE
FL
01
—
P00929821
RAILROAD MCR
FL
01
—
P934710
OPTIMUM
FL
01
—
P990169
FREEDOM HEALTH
FL
01
—
Y06YR
BCBS FL
FL
Enumeration date
06/28/2010
Last updated
08/14/2023
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