Provider Demographics
NPI:1154338952
Name:CASEY, ALLYSON MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:MARIE
Last Name:CASEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 NW 2ND ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-6234
Mailing Address - Country:US
Mailing Address - Phone:352-237-5400
Mailing Address - Fax:352-236-3091
Practice Address - Street 1:2650 NW 2ND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-6234
Practice Address - Country:US
Practice Address - Phone:352-237-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2713952363L00000X
FLAPRN2713952363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL302412100Medicaid
FLY057NOtherBLUE CROSS BLUE SHIELD