Individual
JASON SCOTT HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-1000
Mailing address
15133 N 174TH DR, SURPRISE, AZ 85388-7844
(698) 553-6364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1537
AZ
Other
Enumeration date
05/08/2018
Last updated
01/10/2025
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