Individual provider · Type 1 NPI

Cassandra Vestal

Nurse Practitioner · Carterville, IL

NPI number 1790346419 Active

Practice location

108 N Division St
Carterville, IL 62918-1245

Fax (618) 985-9276

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209019546 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790346419

Cassandra Vestal's National Provider Identifier is 1790346419, issued on Jun 24, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carterville, IL. The record was last updated on Sep 19, 2019.