Jennifer Kate Laurence, CRNA
Nurse Anesthetist, Certified Registered in Fort Worth, TX. Individual provider (NPI-1).
NPI number1679072003
StatusActive
Last updated in NPPESApr 30, 2020
Details
- NPI
- 1679072003
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Kate Laurence
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2018
- Certification date
- Apr 30, 2020
- Last updated
- Apr 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP136471 | TX | Yes |
Practice location
1400 8th AveFort Worth, TX 76104-4110
Phone 214-287-9039
Mailing address
Po Box 840853Dallas, TX 75284-0853
Phone 972-233-1999 · Fax 972-233-3666
Other practice locations
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Dallas, TX 75240-6524
Phone 972-715-5000 · Fax 972-715-9976
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