Individual provider · Type 1 NPI

Justin A. Otis, DNP, APRN-CRNA

Certified Registered Nurse Anesthetist · Jacksonville, FL

NPI number 1245911262 Active

Practice location

11723 Wells Creek Pkwy Apt 1217
Jacksonville, FL 32256-1981

Call (904) 240-2841 Map

Mailing address

2115 Judge Carden Blvd
Crestwood, KY 40014-7805

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	RN9356204 (FL)
Certified Registered Nurse Anesthetist Primary	367500000X	4012118 (KY)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1245911262

Justin A. Otis, DNP, APRN-CRNA's National Provider Identifier is 1245911262, issued on Jul 31, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 25, 2024.