Jeffrey, Jarrell

Jeffrey, Jarrell is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. 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. Jeffrey, Jarrell can be contacted via phone (859) 341-7246.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 341-7246
Fax: (859) 341-7867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1054333 Kentucky

Profile Details

NPI number 1366427718
LBN Legal business name Jeffrey, Jarrell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Feb 28th, 2008 - about 16 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 1366427718 NPPES
Other 000000288569 ANTHEM BLUE SHIELD
MEDICAID 2380776 ANTHEM BLUE SHIELD
MEDICAID 74420647 ANTHEM BLUE SHIELD

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