Shane, Jayma R.

Shane, Jayma R. is an individual health care provider with primary practice located at 8600 N State Route 91 Suite 250, Peoria IL 61615-9541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Shane, Jayma R. can be contacted via phone (309) 692-5393.

Contact Information

Primary practice address
8600 N State Route 91 Suite 250 Peoria IL 61615-9541
Phone: (309) 692-5393
Fax: (309) 692-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.010281 Illinois

Profile Details

NPI number 1245571819
LBN Legal business name Shane, Jayma R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2013
Last updated Oct 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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