Individual
JESSICA LYNN PHEASANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
1525 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1831
(800) 437-2672
Mailing address
419 SE 2ND ST APT 408, FORT LAUDERDALE, FL 33301-4459
(814) 330-4492
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
142866
PA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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