Individual
JENNIFER LYN KNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMPNA, CRNA
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
2305 KANAWHA TER APT 102, SAINT ALBANS, WV 25177-5201
(443) 996-9566
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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