Individual
KIMBERLY J JASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7820
(313) 593-8894
Mailing address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7820
(313) 593-8894
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704214433
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.019901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4486604
—
MI
05
—
4835680
—
MI
Enumeration date
09/15/2006
Last updated
11/03/2023
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