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Individual

JENNIFER W KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 JOHNSON FERRY ROAD, ATLANTA, GA 30342
(770) 645-9181
(770) 645-8455
Mailing address
3155 N POINT PKWY, ATTN CREDENTIALING DEPT, BUILDING F, SUITE 100, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN164509
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
465753771A
GA
05
465753771B
GA
05
465753771C
GA
Enumeration date
01/29/2007
Last updated
06/27/2011
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