Individual
MS. JEAN S. CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
96 CAMPUS DRIVE, SUITE 1, SCARBOROUGH, ME 04074
(207) 885-9905
(207) 396-5600
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101-0020832
VT
363LF0000X
Family Nurse Practitioner
Primary
CNP121029
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00048194
BCBS
VT
01
—
08V991
MVP
VT
05
—
0VN1971
—
VT
01
—
4653001
VERMONTH MANAGED CAREAPEX
VT
01
—
500007135
TRAVELERS MEDICARE
VT
01
—
8000335
LADIES FIRST
VT
Enumeration date
09/29/2006
Last updated
01/29/2015
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