Individual
MRS. JESSICA ELAINE KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 NW 82ND AVE, PLANTATION, FL 33324-1811
(954) 693-8160
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
20781
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9447736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023205600
—
FL
Enumeration date
11/07/2015
Last updated
08/22/2019
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