Jessica Fortin, CRNA
Nurse Anesthetist, Certified Registered in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1669979670
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1669979670
- Entity type
- Individual (NPI-1)
- Name
- Jessica Fortin
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2018
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704308220 | MI | Yes |
| 163W00000X | Registered Nurse | RN2293762 | MA |
Practice location
5301 E Huron River DrYpsilanti, MI 48197-1051
Phone 734-712-3456
Mailing address
6004 Reliable Parkway Lockbox Chi 866004Chicago, IL 60686-0060
Phone 734-263-2400
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All 111 Certified Registered Nurse Anesthetist providers in Ypsilanti · All 4,454 providers in Ypsilanti
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