Provider Demographics
NPI:1194362392
Name:BRIGGS, CASSIE N (APN)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:N
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:NICOLE
Other - Last Name:BRIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:PO BOX 3428
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62708-3428
Mailing Address - Country:US
Mailing Address - Phone:217-588-2624
Mailing Address - Fax:217-757-7550
Practice Address - Street 1:101 W MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-3286
Practice Address - Country:US
Practice Address - Phone:217-876-3682
Practice Address - Fax:217-876-3345
Is Sole Proprietor?:No
Enumeration Date:2019-12-06
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209020420363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041428609OtherRN LICENSE