Individual
JENNY M POLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1737 BRIARCREST DR, SUITE 14, BRYAN, TX 77802-2769
(979) 776-4777
(979) 776-0588
Mailing address
1737 BRIARCREST DR, SUITE 14, BRYAN, TX 77802-2769
(979) 776-4777
(979) 776-0588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
78189
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131890
TX
367500000X
Certified Registered Nurse Anesthetist
APN13090
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100437
—
AL
05
—
365221601
—
TX
01
—
620931432
TRICARE REGION SOUTH
TN
Enumeration date
01/09/2008
Last updated
09/13/2021
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