Individual
MRS. JILL ANN MASON-NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, ANESTHESIA SERVICES, SPARTANBURG, SC 29303-3040
(864) 560-6299
Mailing address
877 INVERNESS CIR, SPARTANBURG, SC 29306-6680
(864) 385-0835
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1790
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1158
—
SC
Enumeration date
04/08/2006
Last updated
04/09/2013
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