Jessica Bourgeois, CRNA
Nurse Anesthetist, Certified Registered in West Palm Beach, FL. Individual provider (NPI-1).
NPI number1053738625
StatusActive
Last updated in NPPESMar 21, 2014
Details
- NPI
- 1053738625
- Entity type
- Individual (NPI-1)
- Name
- Jessica Bourgeois
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2014
- Last updated
- Mar 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9265203 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | RN9265203 | FL |
Practice location
901 45th StWest Palm Beach, FL 33407-2413
Phone 561-884-6300
Mailing address
1431 Centerpoint BlvdSuite 100
Knoxville, TN 37932-1984
Phone 865-985-7024 · Fax 865-985-7077
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