Individual
JENNA MARIE WISCHMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 310, TAMPA, FL 33607-6383
(813) 350-7244
(813) 350-7246
Mailing address
PO BOX 568368, ORLANDO, FL 32856-8368
(813) 350-7244
(813) 350-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9253148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G000A
BCBS
FL
Enumeration date
06/23/2009
Last updated
04/04/2022
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