Provider Demographics
NPI:1285957209
Name:RICHARDS, JAMIE HARRELL (CRNA)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:HARRELL
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2700 WAYNE MEMORIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9459
Mailing Address - Country:US
Mailing Address - Phone:919-731-6068
Mailing Address - Fax:919-731-6025
Practice Address - Street 1:2700 WAYNE MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9459
Practice Address - Country:US
Practice Address - Phone:919-731-6068
Practice Address - Fax:919-731-6025
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRN-178397083029CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered