Individual
JASON R. JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
10982 SANCTUARY WAY, SHREVEPORT, LA 71106-7772
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04353
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463931
—
LA
05
—
193990201
—
TX
Enumeration date
08/07/2006
Last updated
12/31/2024
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