Individual
JENNA PLAISANCE MARCIANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503
(228) 575-7000
Mailing address
215 E SECOND ST UNIT 27, PASS CHRISTIAN, MS 39571-4476
(228) 304-1112
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP07610
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
R886907
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04105062
—
MS
05
—
2353659
—
LA
Enumeration date
08/09/2013
Last updated
08/06/2018
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