Individual
MR. JEFFREY LEE JERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
149023
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
81297-030
WI
367500000X
Certified Registered Nurse Anesthetist
R 172688-8
MN
Other
Enumeration date
07/04/2006
Last updated
01/22/2021
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