Provider Demographics
NPI:1962107565
Name:NETHERLAND, KASEY COX (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:COX
Last Name:NETHERLAND
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:LAUREN
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17901 CAIN CLEARING PASS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4424
Mailing Address - Country:US
Mailing Address - Phone:318-341-1617
Mailing Address - Fax:
Practice Address - Street 1:3831 GOLF DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-5218
Practice Address - Country:US
Practice Address - Phone:800-321-0864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily