Organization
JENNIFER SASSI PA
Active
Parent organization
JENNIFER SASSI PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENNIFER SASSI PA
Authorized official
MRS. JENNIFER SASSI CRNA (PRESIDENT)
(239) 691-4076
Entity
Organization
Contact information
Practice address
3700 CENTRAL AVE, FORT MYERS, FL 33901-7649
(239) 939-5233
(239) 939-9225
Mailing address
22150 RED LAUREL LN, ESTERO, FL 33928-2975
(239) 691-4076
(239) 992-1107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3416952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3066932000
MEDICAID
FL
01
—
G3683
BCBS
FL
Enumeration date
10/22/2013
Last updated
02/13/2014
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