Provider Demographics
NPI:1659835346
Name:CASSANDRA THOMAS-JINGLES PSYCHIATRIC NURSE PRACTITIONER, LLC.
Entity Type:Organization
Organization Name:CASSANDRA THOMAS-JINGLES PSYCHIATRIC NURSE PRACTITIONER, LLC.
Other - Org Name:INTEGRITY MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:THOMAS-JINGLES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:225-328-5551
Mailing Address - Street 1:PO BOX 484
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734-0484
Mailing Address - Country:US
Mailing Address - Phone:225-308-1425
Mailing Address - Fax:225-230-1046
Practice Address - Street 1:2900 WESTFORK DR STE 401
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70827-0004
Practice Address - Country:US
Practice Address - Phone:225-328-5551
Practice Address - Fax:225-230-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-26
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty