Jennifer Elizabeth Vicknair

NPI Registration Record

Provider / Organization	NPI	Date Certified
JENNIFER ELIZABETH VICKNAIR	1306861398	2024-01-06

Jennifer Elizabeth Vicknair is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306861398. Registration indicates Jennifer Elizabeth Vicknair is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered) (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)

Entity Type	Individual
Provider Name	Jennifer Elizabeth Vicknair CRNA
Practice Office Address	778 SCOGIN DR MONTICELLO, AR US
Practice Office Telephone	8703672411
Mailing Address	443 FIDDLERS CREEK DR WEST MONROE, LA 712911774 US
Business Telephone	3183812130

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