NPI 1003446006

Joshua Booth, CRNA

Practitioner Certified Registered Nurse Anesthetist Jackson, MI

Practice location

Address: 205 N East Ave, Jackson, MI 49201-1753
Phone: (517) 205-4800
Mailing address: 16206 Wetherby St, Beverly Hills, MI 48025-5559

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4704276659 (MI)

Other Nurse Anesthetist, Certified Registered providers in Michigan →

Registry record

NPI: 1003446006
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2020
Record last updated: 19 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.