Provider Demographics
NPI:1104068436
Name:MCGEE, JEFFREY D (CRNA)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:MCGEE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9994
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69103-9994
Mailing Address - Country:US
Mailing Address - Phone:308-696-8344
Mailing Address - Fax:308-696-8349
Practice Address - Street 1:601 W LEOTA ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6525
Practice Address - Country:US
Practice Address - Phone:308-696-8000
Practice Address - Fax:308-696-8349
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE101077367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEP00705492OtherRAILROAD MEDICARE
NE10025589400Medicaid
NENA1095067Medicare PIN