Jessica Rae Angel
Nurse Anesthetist, Certified Registered in Hollywood, FL. Individual provider (NPI-1).
NPI number1588053045
StatusActive
Last updated in NPPESJan 21, 2015
Details
- NPI
- 1588053045
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Rae Angel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2015
- Last updated
- Jan 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9302274 | FL | Yes |
Practice location
4109 Adams StHollywood, FL 33021-7366
Phone 954-295-2190
Mailing address
4109 Adams StHollywood, FL 33021-7366
Phone 954-295-2190
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