Individual
MIRANDA SUE CASSITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, FNP-BC
Contact information
Practice address
1764 E. STATE ROUTE 163, CLINTON, IN 47842-7327
(765) 820-2120
Mailing address
1764 E. STATE ROUTE 163, CLINTON, IN 47842-7327
(765) 820-2120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008253A
IN
363LA2100X
Acute Care Nurse Practitioner
71008253A
IN
363LF0000X
Family Nurse Practitioner
71008253A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28198899A
RN
IN
01
—
71008253A
APN
IN
Enumeration date
08/30/2018
Last updated
02/20/2026
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