Provider Demographics
NPI:1952983041
Name:HILL, CASSANDRA JO (RN)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JO
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WASHINGTON STREET
Mailing Address - Street 2:CCBC-PACT OFFICE
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02789
Mailing Address - Country:US
Mailing Address - Phone:508-828-9675
Mailing Address - Fax:
Practice Address - Street 1:1 WASHINGTON STREET
Practice Address - Street 2:CCBC-PACT OFFICE
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02789
Practice Address - Country:US
Practice Address - Phone:508-828-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215012163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology