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Individual

MR. JEFFREY BENJAMIN NORDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Mailing address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
551730
CA
163W00000X
Registered Nurse
933077
TX
367500000X
Certified Registered Nurse Anesthetist
004706
CT
367500000X
Certified Registered Nurse Anesthetist
3783
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
8194
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
CA
Enumeration date
04/08/2009
Last updated
04/10/2026
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