Provider Demographics
NPI:1285148528
Name:CASSION, HYACINTH JOY LUMAPAS (BSN, RN, FNP)
Entity type:Individual
Prefix:
First Name:HYACINTH JOY
Middle Name:LUMAPAS
Last Name:CASSION
Suffix:
Gender:F
Credentials:BSN, RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PLEASANT GROVE BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-6194
Mailing Address - Country:US
Mailing Address - Phone:916-784-7700
Mailing Address - Fax:
Practice Address - Street 1:701 PLEASANT GROVE BLVD STE 125
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-6194
Practice Address - Country:US
Practice Address - Phone:916-784-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-23
Last Update Date:2017-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily