Provider Demographics
NPI:1609250380
Name:DENNIS, CASSIE ANNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:ANNE
Last Name:DENNIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:ANNE
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1235 S HIGHWAY 377 STE A
Mailing Address - Street 2:
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-4352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1235 S HIGHWAY 377 STE A
Practice Address - Street 2:
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258
Practice Address - Country:US
Practice Address - Phone:940-686-6277
Practice Address - Fax:940-686-6280
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128525363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily