Individual
MARY ANN JANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5357
Mailing address
7420 W BRAZITO RD, JEFFERSON CITY, MO 65109-9421
(573) 632-5357
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128350
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915020408
—
MO
Enumeration date
05/16/2006
Last updated
09/02/2022
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