Individual
JASON ANDREW THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
110955
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
86211
WV
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
06/15/2020
Last updated
06/28/2023
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