Individual
MRS. JENNIFER M AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-092761
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9244135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910639
—
AL
01
—
051540490
BC OF AL
AL
05
—
110188
—
AL
05
—
308135400
—
FL
01
—
592-07279
BLUE CROSS BLUE SHIELD
AL
01
—
G4122
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/14/2006
Last updated
06/26/2009
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