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NPI Code Detail

MEDICARE: STEFANI A. JOBE CRNA

MEDICARE: STEFANI A. JOBE 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 Anesthetist635766TX
2367500000XCertified Registered Nurse Anesthetist235136AR
3367500000XCertified Registered Nurse Anesthetist4704422999MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2070837OTHERTXCRNA CERTIFICATE

General Provider Information

NPI Number : 1730149337
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANI A. JOBE CRNA
Provider Business Mailing Address
First Line : 8140 N MOPAC EXPY STE 3-210
Second Line :
City : AUSTIN
State : TX
Zip : 78759-8862
Country : US
Telephone Number : 512-493-9227
Fax Number :
Provider Business Practice Location Address
First Line : 8140 N MOPAC EXPY STE 3-210
Second Line :
City : AUSTIN
State : TX
Zip : 78759-8862
Country : US
Telephone Number : 512-343-2292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 04/17/2026

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Directions to “ STEFANI A. JOBE CRNA” Practice Location

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