Provider Demographics
NPI:1912630989
Name:ROBINSON, CASSIE JEAN (NP)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:JEAN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:JEAN
Other - Last Name:LEROSSIGNOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 SAN RAMON DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-1054
Mailing Address - Country:US
Mailing Address - Phone:530-774-3201
Mailing Address - Fax:
Practice Address - Street 1:101 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3810
Practice Address - Country:US
Practice Address - Phone:530-894-8944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA844166163WW0101X
CA95021786363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA844166OtherBOARD OF REGISTERED NURSING
CA95021786OtherBOARD OF REGISTERED NURSING