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General NPI Number Information
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NPI Number | 1750567426
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Entity Type | Individual
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Provider Name | JERRI SHAY KELLY DURDEN CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 211 GA HIGHWAY 46
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City | REGISTER
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State | GA
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Zip | 30452-3876
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Country | US
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Telephone | 912-531-1799
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN144422
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License Number State | GA
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