Individual
JENNIFER NADINE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
727 BALL AVE, WATERTOWN, NY 13601-4303
(404) 405-5550
Mailing address
727 BALL AVENE, WATERTOWN, NY 13601-2900
(404) 405-5550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639329
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
60279429
WA
Other
Enumeration date
02/03/2011
Last updated
05/10/2012
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