Individual
JACOB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7105 DAVIS GREY DR, ASHEVILLE, NC 28803-0208
(662) 415-6574
Mailing address
50 SCHENCK PKWY, ASHEVILLE, NC 28803-3499
(828) 681-1527
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5576
NC
Other
Enumeration date
12/18/2016
Last updated
12/27/2016
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