Whalio Doctors

NPI 1063764835

Jamie Ann Davidson, CRNA

Practitioner Certified Registered Nurse Anesthetist South Bend, IN

Practice location

Address
1536 Crestwood Blvd, South Bend, IN 46635-1917
Phone
(574) 360-2619

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28173970A (IN)

Registry record

NPI
1063764835
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Oct 2012
Record last updated
26 Jun 2015

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.