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NPI Code Detail

MEDICARE: MS. JEAN ANN FOLLMAN CRNA

MEDICARE: MS. JEAN ANN FOLLMAN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistARNP 1220282FL

General Provider Information

NPI Number : 1467412775
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEAN ANN FOLLMAN CRNA
Provider Business Mailing Address
First Line : 8225 35TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-1005
Country : US
Telephone Number : 727-384-1205
Fax Number : 727-825-1002
Provider Business Practice Location Address
First Line : 1200 7TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-1300
Country : US
Telephone Number : 727-825-1486
Fax Number : 727-825-1002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 07/08/2007

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