Provider Demographics
NPI:1972810679
Name:KERN-FUHS, CASSANDRA S (NP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:S
Last Name:KERN-FUHS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 WERNSING RD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-8141
Mailing Address - Country:US
Mailing Address - Phone:877-291-6488
Mailing Address - Fax:812-481-0280
Practice Address - Street 1:819 WERNSING RD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-8141
Practice Address - Country:US
Practice Address - Phone:877-291-6488
Practice Address - Fax:812-481-0280
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003375A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner