Individual
JANE FICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
047655
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337817
—
OH
Enumeration date
06/12/2006
Last updated
11/02/2016
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