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Individual

LENA JAMISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2907
(703) 766-9737
(703) 766-9725

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001165437
VA
367500000X
Certified Registered Nurse Anesthetist
ARNP9162551
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871539452
VA
05
308346200
FL
01
G4244
BCBS
FL
Enumeration date
06/21/2006
Last updated
04/14/2015
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