IndividualActive
Casey Baine, ACAGNP
NPI 1245835263 · Acute Care Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1245835263
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACAGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 904142 (MS)
Practice location
969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-3631
Fax: (601) 200-0159
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.