Individual
JESSE CURTIS PENDERGRAST
Active
Individual
JESSE CURTIS PENDERGRAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3299942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP3299942
FL LICENSE
FL
01
—
G3441
FL BCBS
FL
01
—
P00223639
MEDICARE RAILROAD
—
Enumeration date
01/25/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up