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Individual

TAMMY KAY JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1613 S. MCKENZIE DRIVE, FOLEY, AL 36535
(619) 632-8183
Mailing address
4031 LOCHMOOR DR, PENSACOLA, FL 32506-7813
(619) 632-8183

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
01153
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
1-133734
AL
367500000X
Certified Registered Nurse Anesthetist
9321247
FL
367500000X
Certified Registered Nurse Anesthetist
RN 638091
CA

Other

Enumeration date
03/14/2006
Last updated
05/15/2012
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