NPI 1104315860
Jason Scott Herndon, CRNA
Practice location
- Address
- 18701 N 67th Ave, Glendale, AZ 85308-7100
- Phone
- (623) 561-1000
- Mailing address
- 15133 N 174th Dr, Surprise, AZ 85388-7844
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1104315860
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 May 2018
- Record last updated
- 10 Jan 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.