Individual
JABRIAN WAYNE FOREHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
7777 HENNESSY BLVD, STE 301, BATON ROUGE, LA 70808-0319
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07675
LA
367500000X
Certified Registered Nurse Anesthetist
ARNP9289969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001059200
—
FL
05
—
109837
—
AL
01
—
592-06990
BLUE CROSS BLUE SHIELD
AL
01
—
G0A03
BLUE CROSS BLUE SHIELD
FL
01
—
P00724395
MEDICARE RAILROAD
—
Enumeration date
05/06/2009
Last updated
07/07/2020
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