Individual
JASON PIERCE CHANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2080 CHAMBLISS AVE, SUITE 1, CLEVELAND, TN 37311
(423) 472-6513
(423) 476-2062
Mailing address
PO BOX 3090, CLEVELAND, TN 37320-3090
(423) 472-6513
(423) 476-2062
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA#052691
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3629846
—
TN
Enumeration date
12/30/2005
Last updated
09/18/2007
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