Individual
MRS. JENNIFER MARIE FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2080 CHILD STREET, JACKSONVILLE, FL 32214
(904) 542-7856
Mailing address
2080 CHILD STREET, JACKSONVILLE, FL 32214
(904) 542-7856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704234458
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
87782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760753982
—
FL
Enumeration date
01/19/2012
Last updated
11/28/2022
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