Individual
JENNA L FICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-5918
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
(701) 530-8842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R33436
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452767
—
ND
Enumeration date
01/15/2013
Last updated
10/10/2019
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