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Individual

JENNIFER ROSE HUMPHREYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0567
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1266
NC
367500000X
Certified Registered Nurse Anesthetist
APN.0999260-CRNA
CO

Other

Enumeration date
07/26/2012
Last updated
09/26/2025
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