Individual
JESSICA BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 45TH ST, WEST PALM BEACH, FL 33407-2413
(561) 884-6300
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7024
(865) 985-7077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9265203
FL
390200000X
Student in an Organized Health Care Education/Training Program
RN9265203
FL
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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