Individual
JENNA CARLSON PARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 700, DOTHAN, AL 36301-3030
(334) 793-5105
(334) 671-5073
Mailing address
1118 ROSS CLARK CIR, SUITE 700, DOTHAN, AL 36301-3030
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-109200
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-109200
AL LICENSE
AL
Enumeration date
01/19/2011
Last updated
12/20/2011
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