Individual
JASON T WHITEFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
4159 SOPHIAS WAY, CLEVES, OH 45002-1410
(513) 205-3922
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28295075A
IN
367500000X
Certified Registered Nurse Anesthetist
RN303213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2758305
—
OH
Enumeration date
03/08/2007
Last updated
06/10/2025
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