Individual
JESSE RAMONE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024182743
VA
367500000X
Certified Registered Nurse Anesthetist
32989
TN
367500000X
Certified Registered Nurse Anesthetist
4012936
KY
367500000X
Certified Registered Nurse Anesthetist
770560
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
9050-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300086098
—
IN
05
—
7100952770
—
KY
Enumeration date
08/30/2017
Last updated
01/13/2026
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