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Jeremiah Jack, CRNA
Certified Registered Nurse Anesthetist in Vallejo, California
NPI 1972995280

Jeremiah Jack is a Certified Registered Nurse Anesthetist based in Vallejo, CA. Jeremiah Jack practices in Vallejo, CA and has the professional credentials of CRNA. The NPI Number for Jeremiah Jack is 1972995280 and holds a License No. 95000285 (California).

The current practice location address for Jeremiah Jack is 975 Sereno Dr, Vallejo, CA and can be reached out via phone at 707-651-3884.

Location: 975 Sereno Dr, Vallejo, CA, 94589-2441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972995280
Provider Name
Jeremiah Jack
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
975 Sereno Dr, Vallejo, CA, 94589-2441
Phone Number
707-651-3884
Fax Number
Provider Enumeration Date
02/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-651-3884
Fax Number
person
Provider Business Mailing Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-651-3884
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
95000285 (California)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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