Individual
DR. JARRED DEWAYNE SEPULVADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
605 TUNICA TRL, BOSSIER CITY, LA 71111-5192
(318) 780-0329
Mailing address
605 TUNICA TRL, BOSSIER CITY, LA 71111-5192
(318) 780-0329
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200185
LA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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