Individual
MRS. JESSICA CHEMBERLY DZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-8994
Mailing address
PO BOX 32861, ANESTHESIA SVCS - 5TH FLOOR SURGERY TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0144720
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052218
—
NC
05
—
NAN693
—
SC
Enumeration date
06/10/2006
Last updated
01/17/2025
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