Individual
JENNIFER L BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 E STATE ST, ALLIANCE, OH 44601-4936
(330) 596-7227
(330) 596-7214
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.11026
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN301467
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016864
—
OH
Enumeration date
10/20/2009
Last updated
04/02/2026
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