Annis, Jason Paul

Annis, Jason Paul is an individual health care provider with primary practice located at 1705 Tarboro St Sw , Wilson NC 27893-3428. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Annis, Jason Paul can be contacted via phone (252) 399-8040.

Contact Information

Primary practice address
1705 Tarboro St Sw Wilson NC 27893-3428
Phone: (252) 399-8040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 172062 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 073396 North Carolina

Profile Details

NPI number 1417966953
LBN Legal business name Annis, Jason Paul
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Apr 10th, 2015 - about 9 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 1417966953 NPPES
North Carolina Other P00600549 RAILROAD MEDICARE
North Carolina MEDICAID 8052801 RAILROAD MEDICARE

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