1659835346 NPI number — CASSANDRA THOMAS-JINGLES PSYCHIATRIC NURSE PRACTITIONER, LLC.

Table of content: (NPI 1659835346)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659835346 NPI number — CASSANDRA THOMAS-JINGLES PSYCHIATRIC NURSE PRACTITIONER, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASSANDRA THOMAS-JINGLES PSYCHIATRIC NURSE PRACTITIONER, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
INTEGRITY MENTAL HEALTH SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659835346
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 484
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GEISMAR
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70734-0484
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-308-1425
Provider Business Mailing Address Fax Number:
225-230-1046

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 WESTFORK DR STE 401
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70827-0004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-328-5551
Provider Business Practice Location Address Fax Number:
225-230-1046
Provider Enumeration Date:
01/26/2019

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS-JINGLES
Authorized Official First Name:
CASSANDRA
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
225-328-5551

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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