Gregory Jensen CRNA

NPI 1053481648 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1053481648
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3643 N ROXBORO ST
DURHAM NC, 27704-2702, US
Phone (919) 470-6186
Fax
Business Location
PO BOX 15609
DURHAM NC, 27704-0609, US
Phone (919) 384-0200
Fax (919) 384-0600
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 044561
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According to our database, Gregory Jensen CRNA NPI is 1053481648, taxonomy code is 367500000X and license number is 044561, license state is located at North Carolina. Gregory Jensen CRNA physically located at 3643 N Roxboro St, Durham NC, 27704-2702. NPI Number Gregory Jensen CRNA has the Individual type.

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1053481648 NPI number is provided on an as is basis without warranty of any kind. 1053481648 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Jensen CRNA are for informational purposes only.