Individual
JESSICA L POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 339-7894
(814) 339-6165
Mailing address
PO BOX 687, CLEARFIELD, PA 16830-0687
(814) 339-7894
(814) 339-6165
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AANA89321
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN584337
LICENSE NUMBER
PA
Enumeration date
01/26/2012
Last updated
01/26/2012
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