Individual
JALEEN MARIE DINGLEDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
20 FULTON ST E APT 1102, GRAND RAPIDS, MI 49503-5266
(231) 286-9419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3014348
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4704320678
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037165
—
IN
05
—
7100658510
—
KY
Enumeration date
12/27/2018
Last updated
04/15/2020
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