| NPI | 1316579667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY DESHAY JONES C RN A 502-262-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2026-08-28 |