Provider Demographics
NPI:1295441400
Name:CASSELL, ARSHIA POURSINA (FNP-BC)
Entity type:Individual
Prefix:
First Name:ARSHIA
Middle Name:POURSINA
Last Name:CASSELL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:781 SPRING ST, SUITE 320
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2188
Mailing Address - Country:US
Mailing Address - Phone:478-633-1547
Mailing Address - Fax:478-633-7929
Practice Address - Street 1:781 SPRING ST, SUITE 320
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2188
Practice Address - Country:US
Practice Address - Phone:478-633-1547
Practice Address - Fax:478-633-7929
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN287223363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily