Individual
MRS. JENNIFER MARIE BLESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
340 THOMAS MORE PKWY, SUITE 220, CRESTVIEW HILLS, KY 41017-5101
(859) 341-2666
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1094324
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
1094324
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201149630
—
IN
05
—
7100230190
—
KY
Enumeration date
01/02/2013
Last updated
09/01/2017
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