Individual
CASEY JO CIRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
902 KIRKWOOD AVE NW, LENOIR, NC 28645-5121
(828) 754-0101
(828) 757-0402
Mailing address
2108 CLAYTON PL, HATTIESBURG, MS 39402-2805
(601) 602-2014
(601) 602-2015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5017706
NC
363LF0000X
Family Nurse Practitioner
5017706
NC
363LF0000X
Family Nurse Practitioner
Primary
R876991
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016203
—
MS
01
—
C02674
MEDICARE GROUP
—
Enumeration date
10/15/2010
Last updated
11/15/2023
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