Provider Demographics
NPI:1306174891
Name:HESTER, DEDE JENNIFER JEANETTE (CRNA)
Entity type:Individual
Prefix:
First Name:DEDE
Middle Name:JENNIFER JEANETTE
Last Name:HESTER
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 1:816 INDEPENDENCE BLVD
Mailing Address - Street 2:STE 2A
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6010
Mailing Address - Country:US
Mailing Address - Phone:757-363-6712
Mailing Address - Fax:757-363-6204
Practice Address - Street 1:816 INDEPENDENCE BLVD
Practice Address - Street 2:STE 2A
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6010
Practice Address - Country:US
Practice Address - Phone:757-363-6712
Practice Address - Fax:757-363-6204
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2025-02-27
Deactivation Date:
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Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001177061163W00000X
VA0024168714367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse