| Damon Keith Jessup, CRNA | |
|
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
| (912) 538-5537 | |
| (912) 538-5228 |
| Full Name | Damon Keith Jessup |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Meadows Pkwy, Vidalia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851578637 | NPI | - | NPPES |
| 462913918B | Medicaid | GA | |
| 462913918A | Medicaid | GA | |
| 462913918C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN131653 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Damon Keith Jessup, CRNA Po Box 1303, Vidalia, GA 30475-1303 Ph: (912) 538-5537 | Damon Keith Jessup, CRNA 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 538-5537 |
Shannon Lacey Staten, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 | |
Brandon Reeves Blount, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 535-912-5894 | |
Daniel Tyler Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228 | |
Timothy Roose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: One Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
Ann Marie Chalker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 |