Individual provider · NPI-1

Cassandra Lee Ackerman, MSN, APRN, FNP-C

Nurse Practitioner · Saint Cloud, MN

NPI number1205435773
StatusActive
Last updated in NPPESOct 25, 2020

Details

NPI
1205435773
Entity type
Individual (NPI-1)
Name
Cassandra Lee Ackerman
Credential
MSN, APRN, FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2020
Certification date
Oct 25, 2020
Last updated
Oct 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner7658MNYes

Other names

  • Cassandra Lee Young (Former Name)

Practice location

251 County Road 120
Saint Cloud, MN 56303-4872

Phone 320-202-8949

Mailing address

251 County Road 120
Saint Cloud, MN 56303-4872

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