Individual
ALISON MICHELLE CASSELL-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
908 DUPONT RD, LOUISVILLE, KY 40207-4602
(502) 749-7909
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006315
KY
363LP0200X
Pediatric Nurse Practitioner
3006315
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200991510
—
IN
05
—
7100104400
—
KY
Enumeration date
01/12/2010
Last updated
09/28/2020
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