Butler, Kassandra Leann

Butler, Kassandra Leann is an individual health care provider with primary practice located at 1563 Kingsley Avenue Suite 106, Orange Park FL 32073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Butler, Kassandra Leann can be contacted via phone (904) 389-5333.

Contact Information

Primary practice address
1563 Kingsley Avenue Suite 106 Orange Park FL 32073
Phone: (904) 389-5333
Fax: (904) 389-5332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9337434 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9337434 Florida

Profile Details

NPI number 1780055152
LBN Legal business name Butler, Kassandra Leann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated Apr 29th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780055152 NPPES
Florida MEDICAID 015924400

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