Individual provider · Type 1 NPI
Jennifer Nickerson, CRNA
Certified Registered Nurse Anesthetist · Philadelphia, PA
Practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Fax (215) 707-8028
Mailing address
11490 Springfield Pike
Cincinnati, OH 45246-3524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 272040 (OH) |
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 1891794772
Jennifer Nickerson, CRNA's National Provider Identifier is 1891794772, issued on Jul 21, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 18, 2025.