Individual
CASSANDRA L KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
557 GRANTS FERRY RD, BRANDON, MS 39047-9023
(601) 665-4162
(855) 830-3484
Mailing address
557 GRANTS FERRY RD, BRANDON, MS 39047-9023
(601) 665-4162
(855) 830-3484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902595
MS
Other
Enumeration date
06/20/2018
Last updated
02/10/2023
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