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NPI Code Detail

MEDICARE: JESSIE L. ORBAN CRNA

MEDICARE:   JESSIE L. ORBAN  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 Anesthetist0024179296VA

General Provider Information

NPI Number : 1023307303
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSIE L. ORBAN CRNA
Provider Business Mailing Address
First Line : 934 HARRIMAN ST
Second Line :
City : GREAT FALLS
State : VA
Zip : 22066-2500
Country : US
Telephone Number : 610-972-9859
Fax Number :
Provider Business Practice Location Address
First Line : 934 HARRIMAN ST
Second Line :
City : GREAT FALLS
State : VA
Zip : 22066-2500
Country : US
Telephone Number : 610-972-9859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2011
Last Update Date : 10/04/2021

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Directions to “ JESSIE L. ORBAN CRNA” Practice Location

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