Individual
MRS. CASSAUNDRA HOUSTON HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5145 SELLERS RD, SHALLOTTE, NC 28470
(910) 754-4441
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004196
NC
363LF0000X
Family Nurse Practitioner
5004196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891192R
—
NC
Enumeration date
12/03/2008
Last updated
10/26/2020
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