Provider Demographics
NPI:1871485300
Name:ARMSTRONG, KASSANDRA S
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:S
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 CHINKAPIN CV
Mailing Address - Street 2:
Mailing Address - City:PEARL
Mailing Address - State:MS
Mailing Address - Zip Code:39208-5535
Mailing Address - Country:US
Mailing Address - Phone:601-906-7762
Mailing Address - Fax:
Practice Address - Street 1:104 CHINKAPIN CV
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-5535
Practice Address - Country:US
Practice Address - Phone:601-906-7762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS919406163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health