Individual provider · Type 1 NPI

Casey Banahan Baine, ACAGNP

Acute Care Nurse Practitioner · Jackson, MS

NPI number 1245835263 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Fax (601) 200-0159

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X904142 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1245835263

Casey Banahan Baine, ACAGNP's National Provider Identifier is 1245835263, issued on Nov 30, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Nov 28, 2023.