MEDICARE: JURNEE RAE VERBAL 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
1	367500000X	Certified Registered Nurse Anesthetist	11033143	FL

General Provider Information

NPI Number	:	1548030208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JURNEE RAE VERBAL CRNA

Provider Business Mailing Address
First Line	:	766 W LYMAN AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4150
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 WATERMAN WAY
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-5266
Country	:	US
Telephone Number	:	352-253-3595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	02/04/2026

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