Cassandra L Jeandell
Physician Assistant in Bradenton, FL. Individual provider (NPI-1).
NPI number1982252870
StatusActive
Last updated in NPPESMar 18, 2021
Details
- NPI
- 1982252870
- Entity type
- Individual (NPI-1)
- Name
- Cassandra L Jeandell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2019
- Certification date
- Mar 18, 2021
- Last updated
- Mar 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112685 | FL | Yes |
Practice location
2020 59th St WBradenton, FL 34209-4604
Phone 706-863-9595 · Fax 706-868-8375
Mailing address
Po Box 3725Augusta, GA 30914-3725
Phone 706-863-9595 · Fax 706-868-8375
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