Cassandra Griffin
Nurse Practitioner, Family in Saint John, IN. Individual provider (NPI-1).
NPI number1285339648
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1285339648
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Griffin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2023
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71017593A | IN | Yes |
| 163W00000X | Registered Nurse | 28287577A | IN | |
| 163W00000X | Registered Nurse | 041.448899 | IL | |
| 363LF0000X | Nurse Practitioner, Family | 209.028500 | IL |
Practice location
10815 Park PlSaint John, IN 46373-0436
Phone 219-288-2800
Mailing address
9811 Dune Grass WaySaint John, IN 46373-1201
Phone 815-603-9823
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