Individual
JASON MATHIAS AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 262-8621
Mailing address
3211 W VIRGINIA ST, EVANSVILLE, IN 47712-7836
(812) 598-9847
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.031846
IL
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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