Individual
MS. JENNIFER L BANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(800) 342-2898
Mailing address
1210 E PARK AVE, LIBERTYVILLE, IL 60048-2955
(847) 532-9921
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
192544-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209010864
IL
Other
Enumeration date
12/27/2012
Last updated
04/18/2024
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