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Individual

CHRISTOPHER JERDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(901) 517-0814
Mailing address
185 LAUREL GLEN DR, OAKLAND, TN 38060-3571
(901) 517-0814

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 100682
TN
367500000X
Certified Registered Nurse Anesthetist
220630
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 13474
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08755263
MS
01
1376717587
CHAMPUS/HUMANA TRICARE
05
1507185
TN
05
168414001
AR
01
4190554
BLUE CROSS
TN
01
P00636938
RAILROAD MEDICARE
TN
Enumeration date
04/17/2008
Last updated
04/21/2025
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