NPI 1023703923
Jason John Fry, CRNADNP
Practice location
- Address
- 11234 Anderson St STE A504, Loma Linda, CA 92350-1716
- Phone
- (909) 558-7811
- Mailing address
- 682 E Palm Ave, Redlands, CA 92374-6279
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1023703923
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Apr 2023
- Record last updated
- 21 Mar 2025
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.