Individual
JEBB S AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6900 TURKEY LAKE RD, ORLANDO, FL 32819-4707
(407) 354-5401
Mailing address
15977 JOHNS LAKE OVERLOOK DR, WINTER GARDEN, FL 34787-9790
(251) 213-5977
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9245704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
02/14/2011
Last updated
02/27/2024
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