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Cassandra Wilson
Family Nurse Practitioner in Chantilly, Virginia
NPI 1831612597

Cassandra Wilson is a Family Nurse Practitioner based in Chicago, VA and is specialized in Family. Cassandra Wilson practices in Chantilly, VA. The NPI Number for Cassandra Wilson is 1831612597 and holds a License No. LG-0001162 (Virginia).

The current practice location address for Cassandra Wilson is 14121 Parke Long Ct Ste 201, Chantilly, VA and can be reached out via phone at 312-607-3905.

Location: 14121 Parke Long Ct Ste 201, Chantilly, VA, 60610-7506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831612597
Provider Name
Cassandra Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
14121 Parke Long Ct Ste 201, Chantilly, VA, 60610-7506
Phone Number
312-607-3905
Fax Number
Provider Enumeration Date
07/24/2017
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
14121 Parke Long Ct Ste 201
City
Chantilly
State
Virginia
Zip
20151-1647
Phone Number
312-607-3905
Fax Number
person
Provider Business Mailing Address Details
Address
14121 Parke Long Ct Ste 201
City
Chantilly
State
Virginia
Zip
20151-1647
Phone Number
312-607-3905
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209.016147 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
LG-0001162 (Delaware)
Definition
Definition to come...
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