Individual
JENNIFER S. FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8862
(512) 343-2292
Mailing address
8140 N MOPAC EXPY, SUITE 3-210, AUSTIN, TX 78759-8837
(512) 493-9227
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
626312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070793
CRNA CERTIFICATE
TX
05
—
1647521-02
—
TX
Enumeration date
03/25/2006
Last updated
07/29/2008
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