Mrs Jessica Elaine Khan, CRNA | |
301 Nw 82nd Ave, Plantation, FL 33324-1811 | |
(954) 693-8160 | |
Not Available |
Full Name | Mrs Jessica Elaine Khan |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 301 Nw 82nd Ave, Plantation, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871966234 | NPI | - | NPPES |
023205600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 20781 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN9447736 (Florida) | Primary |
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
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Mrs Jessica Elaine Khan, CRNA 851 Trafalgar Ct Ste 200e, Maitland, FL 32751-7420 Ph: (407) 667-0444 | Mrs Jessica Elaine Khan, CRNA 301 Nw 82nd Ave, Plantation, FL 33324-1811 Ph: (954) 693-8160 |
Ms. Melanie Eleanor Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Amanda J Lackaye, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5409 | |
Yeisirenia Padron Rodriguez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Alexander Brigantty - Vazquez Sr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-6588 | |
Andrene Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Nw 42nd Ave, Plantation, FL 33317 Phone: 954-260-8293 | |
Mrs. Catherine Keyo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5577 | |
Aloune Diana Chariot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 |