Individual
ANGELA ELAINE JIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7783
(318) 330-7719
Mailing address
3452 BEVERLY PL, SHREVEPORT, LA 71105-2022
(318) 537-9121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05161
LA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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