Individual
JEFFREY COVER ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 775-1794
Mailing address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 775-1794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
329264
NC
367500000X
Certified Registered Nurse Anesthetist
6547
NC
Other
Enumeration date
05/05/2015
Last updated
01/04/2021
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