Individual
JASON LEE JAUDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
120 10TH AVE S, APT. 8, JACKSONVILLE BEACH, FL 32250-6545
(904) 304-0526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9250872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179919A
—
GA
05
—
010551800
—
FL
Enumeration date
01/09/2014
Last updated
10/19/2016
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