Individual
MRS. JENNIFER KAY ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
116 CORLEY CIR, WAKE VILLAGE, TX 75501-5861
(903) 223-8584
Mailing address
116 CORLEY CIR, WAKE VILLAGE, TX 75501-5861
(903) 223-8584
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
696151
TX
Other
Enumeration date
11/22/2010
Last updated
11/08/2013
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