Wilson, Cassandra

Wilson, Cassandra is an individual health care provider with primary practice located at 14121 Parke Long Ct Ste 201 , Chantilly VA 20151-1647. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Cassandra can be contacted via phone (312) 607-3905.

Contact Information

Primary practice address
14121 Parke Long Ct Ste 201 Chantilly VA 20151-1647
Phone: (312) 607-3905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.016147 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LG-0001162 Delaware

Profile Details

NPI number 1831612597
LBN Legal business name Wilson, Cassandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Feb 4th, 2026 - about 8 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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