Individual
JESSICA NICHOLE EWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
3 WOODCOCK RD UNIT 4301, SAVANNAH, GA 31404-1096
(708) 921-7340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN282208
GA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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