Individual
JADE ELAINE BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5645
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230078
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
230078
NC
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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