Individual
JEREMIAH JACOB STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHETIST
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 533-8500
Mailing address
6141 BECKWOURTH WAY, OROVILLE, CA 95966-3857
(801) 472-7809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR21127200
NJ
163W00000X
Registered Nurse
5933439-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
95001702
CA
Other
Enumeration date
09/05/2021
Last updated
02/18/2022
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