Pamela J Austin CRNA

NPI 1063408797 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063408797
Gender Female
Enumeration Date 09/27/2005
Last Updated 02/14/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
810 W FOREST AVE
JACKSON TN, 38301-3942, US
Phone (731) 662-1853
Fax (731) 664-7731
Business Location
810 W FOREST AVE
JACKSON TN, 38301-3942, US
Phone (731) 668-1853
Fax (731) 664-7731
Toxanomy
Taxonomy Code 367500000X
License State Tennessee
License Number 8877
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According to our database, Pamela J Austin CRNA NPI is 1063408797, taxonomy code is 367500000X and license number is 8877, license state is located at Tennessee. Pamela J Austin CRNA physically located at 810 W Forest Ave, Jackson TN, 38301-3942. NPI Number Pamela J Austin CRNA has the Individual type.

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1063408797 NPI number is provided on an as is basis without warranty of any kind. 1063408797 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela J Austin CRNA are for informational purposes only.