Andre, Jeffrey A

Andre, Jeffrey A is an individual health care provider with primary practice located at 15200 Community Rd , Gulfport MS 39503-3085. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andre, Jeffrey A can be contacted via phone (228) 575-7000.

Contact Information

Primary practice address
15200 Community Rd Gulfport MS 39503-3085
Phone: (228) 575-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 093642 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 779617 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 901434 Mississippi

Profile Details

NPI number 1619188604
LBN Legal business name Andre, Jeffrey A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jan 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619188604 NPPES
Texas MEDICAID 211608907
Texas MEDICAID 1011886
Texas Other 8839UA
Texas MEDICAID 211608906

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