Individual
JESSICA FROST MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10 DUKE MEDICINE CIR, DURHAM, NC 27710-1000
(919) 681-1183
Mailing address
10 DUKE MEDICINE CIR, DURHAM, NC 27710-1000
(919) 681-1183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201525
NC
367500000X
Certified Registered Nurse Anesthetist
091144
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679837363
—
NC
Enumeration date
06/27/2012
Last updated
06/08/2023
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