Individual
JENNIFER LYN KNACK
Active
Individual
JENNIFER LYN KNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMPNA, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001299340
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024181423
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2021
Last updated
05/23/2023
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