Individual
JENNIFER BUSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 607-5567
Mailing address
2936 HOLLYBAY RD, ORANGE PARK, FL 32073-6418
(904) 607-5567
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9308096
FL
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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