MADISON JO JIMISON

SOUTH BEND, IN
NPI1952097339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  144620)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28244374A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-18
Last Update Date2023-06-08
Business Address
MADISON JO JIMISON CRNA
615 N MICHIGAN ST
SOUTH BEND, IN 46601-1087
Phone number: 574-647-1000
Mailing Address
MADISON JO JIMISON CRNA
7688 E SCOTT ST
DUGGER, IN 47848-8018
Phone number: 419-973-4158