| Doctor Name: | JASON R CASEY |
| NPI Number: | 1003291378 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP, APRN |
| License Number: | 20223 |
| Business Practice Address: | 1023 Edgehill Rd S Charlotte, NC - 282071829 |
| Business Phone Number: | 7043558686 |
| Business Fax Number: | 7043558687 |
| Mailing Address: | Po Box 601372, CHARLOTTE |
| State: | NC |
| Postal Code: | 282601372 |
| Phone Number: | 7043558686 |
| Fax Number: | 7043558687 |
| NPI Enumeration Date: | 07/28/2015 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 20223 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |