Individual
MRS. JIMI L BAISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6220
Mailing address
PO BOX 132, VERDUNVILLE, WV 25649-0132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
58977
WV
Other
Enumeration date
10/20/2006
Last updated
11/20/2019
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