Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey Banahan Baine, ACAGNP

Individual provider Acute Care Nurse Practitioner · NPI 1245835263

Casey Banahan Baine, ACAGNP is an Acute Care Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020

Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-3631
Fax: (601) 200-0159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 904142 (MS)

Record details

NPI number1245835263
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACAGNP
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

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