Individual
JENNIFER WEIDNER CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN217393
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN217393
GA
Other
Enumeration date
11/20/2015
Last updated
08/07/2021
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