Individual
JENNA VACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, MSN, CRNA
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11010585
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/30/2020
Last updated
06/24/2021
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