Individual provider · Type 1 NPI
Jacqueline C. Qualles, CRNA
Certified Registered Nurse Anesthetist · Durham, NC
Practice location
1104 Red Oak Ave
Durham, NC 27707-4924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 343495L (PA) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 343495 (PA) |
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 1407990468
Jacqueline C. Qualles, CRNA's National Provider Identifier is 1407990468, issued on Feb 16, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Durham, NC. The record was last updated on Sep 11, 2025.