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TOMMIE ANN CASSIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
401 11TH ST NE, SPRINGHILL, LA 71075
(318) 539-7101
(318) 539-1731
Mailing address
401 11TH N.E., SPRINGHILL, LA 71075-4503
(318) 539-1701
(318) 539-1731

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
05547
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1309290
LA
Enumeration date
05/20/2008
Last updated
09/30/2021
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