Provider Demographics
NPI:1316684160
Name:CASON, DAWN (RN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CASON
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 1:39110 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:LA
Mailing Address - Zip Code:70452-5038
Mailing Address - Country:US
Mailing Address - Phone:985-290-1050
Mailing Address - Fax:
Practice Address - Street 1:39110 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:LA
Practice Address - Zip Code:70452-5038
Practice Address - Country:US
Practice Address - Phone:985-863-2591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA56404163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty