Hefner, Cassaundra Houston

Hefner, Cassaundra Houston is an individual health care provider with primary practice located at 5145 Sellers Rd , Shallotte NC 28470. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hefner, Cassaundra Houston can be contacted via phone (910) 754-4441.

Contact Information

Primary practice address
5145 Sellers Rd Shallotte NC 28470
Phone: (910) 754-4441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5004196 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004196 North Carolina

Profile Details

NPI number 1306081468
LBN Legal business name Hefner, Cassaundra Houston
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2008
Last updated Oct 26th, 2020 - about 6 years 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 1306081468 NPPES
North Carolina MEDICAID 891192R

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