NPI 1245369784

Jenny R Deforeest, CRNA

Practitioner Certified Registered Nurse Anesthetist Kennesaw, GA

Practice location

Address: 1640 Airport Rd NW STE. 110, Kennesaw, GA 30144-7038
Phone: (678) 202-2074
Fax: (678) 290-0479
Mailing address: 1984 Peachtree Rd NW STE. 515, Atlanta, GA 30309-5219

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 020068 (OH)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1245369784
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2007
Record last updated: 30 Sep 2021

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.