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NPI Code Detail

MEDICARE: JEANETTE NARGI CRNA

MEDICARE: JEANETTE NARGI 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 Anesthetist0024169132VA
2367500000XCertified Registered Nurse AnesthetistAPRN11031495FL

General Provider Information

NPI Number : 1073505798
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE NARGI CRNA
Provider Business Mailing Address
First Line : 3100 SPRING FOREST RD STE 130
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-882-0774
Fax Number : 844-454-0171
Provider Business Practice Location Address
First Line : 1001 SAM PERRY BLVD
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4453
Country : US
Telephone Number : 540-741-7614
Fax Number : 540-741-7615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 02/09/2026

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