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NPI Code Detail

MEDICARE: JP ANESTHESIA A PROFESSIONAL CORPORATION

MEDICARE: JP ANESTHESIA A PROFESSIONAL CORPORATION
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 Anesthetist

General Provider Information

NPI Number : 1811687148
Entity Type Code : Organization
Provider Name (Legal Business Name) : JP ANESTHESIA A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 55990
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72215-5990
Country : US
Telephone Number : 501-227-0700
Fax Number : 501-227-0744
Provider Business Practice Location Address
First Line : 1250 PECANLAND RD
Second Line :
City : MONROE
State : LA
Zip : 71203-7011
Country : US
Telephone Number : 318-387-2015
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JILL PARKMAN
Credential : CRNA
Telephone Number : 318-514-8701
Provider Enumeration Date : 05/10/2023
Last Update Date : 07/26/2023

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Directions to “JP ANESTHESIA A PROFESSIONAL CORPORATION ” Practice Location

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