Cassandra Vestal

Nurse Practitioner · Carterville, IL

Individual Active NPI

NPI number 1790346419

Practice location

108 N Division St
Carterville, IL 62918-1245
Phone
(618) 985-3929
Fax
(618) 985-9276

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NPI record

NPI
1790346419
Entity type
Individual (Type 1)
Enumeration date
June 24, 2019
Last updated
September 19, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209019546 IL

About Cassandra Vestal

Cassandra Vestal is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 108 N Division St, Carterville, IL 62918-1245. The NPI number 1790346419 was assigned on June 24, 2019 and the record was last updated on September 19, 2019.

Cassandra Vestal lists a license in the registry: #209019546 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cassandra Vestal?

The NPI number is 1790346419.

What is the phone number of Cassandra Vestal?

The phone number listed for the practice location is (618) 985-3929.

Where is Cassandra Vestal located?

108 N Division St, Carterville, IL 62918-1245.

What is the taxonomy code for Cassandra Vestal?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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