Individual
JILL SUZANNE FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
23 RIO VISTA DR, STUART, FL 34996-6423
(772) 781-5804
Mailing address
23 RIO VISTA DR, STUART, FL 34996-6423
(772) 781-5804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9205024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306073000
—
FL
01
—
G3491
BCBS OF FLORIDA
FL
Enumeration date
02/13/2006
Last updated
08/18/2011
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