Pendergrast, Jesse Curtis

Pendergrast, Jesse Curtis is an individual health care provider with primary practice located at 801 E 6Th St Suite 205, Panama City FL 32401-3661. 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. Pendergrast, Jesse Curtis can be contacted via phone (850) 785-3185.

Contact Information

Primary practice address
801 E 6Th St Suite 205 Panama City FL 32401-3661
Phone: (850) 785-3185
Fax: (850) 785-6233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3299942 Florida

Profile Details

NPI number 1265588289
LBN Legal business name Pendergrast, Jesse Curtis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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 1265588289 NPPES
Florida Other G3441 FL BCBS
Florida Other ARNP3299942 FL BCBS
Florida Other P00223639 FL BCBS

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