NPI 1053323782

Jeremy J Jerdee, CRNA

Practitioner Certified Registered Nurse Anesthetist Green Bay, WI

Practice location

Address: 2845 Greenbrier Rd, Green Bay, WI 54311-6519
Phone: (920) 288-3388
Fax: (920) 288-3370
Mailing address: PO Box 8900 2845 Greenbrier Rd, Green Bay, WI 54308-8900

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 129285 (WI)

Other Nurse Anesthetist, Certified Registered providers in Wisconsin →

Registry record

NPI: 1053323782
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2006
Record last updated: 12 Jul 2019

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.