| Jennifer Garris, CRNA | |
|
2016 S Alabama Ave, Monroeville, AL 36460-3044 | |
| (800) 204-0099 | |
| (336) 882-2216 |
| Full Name | Jennifer Garris |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2016 S Alabama Ave, Monroeville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215208517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-090674 (Alabama) | Primary |
| Entity Name | Montgomery Eye Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053510933 PECOS PAC ID: 4486674991 Enrollment ID: O20051129000840 |
| Entity Name | D.w. Mcmillan Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309125 PECOS PAC ID: 3072558378 Enrollment ID: O20051228000313 |
| Entity Name | Southwest Alabama Anesthesia Group, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801128202 PECOS PAC ID: 5991835647 Enrollment ID: O20100608000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Garris, CRNA Po Box 124, Excel, AL 36439-0124 Ph: (800) 204-0099 | Jennifer Garris, CRNA 2016 S Alabama Ave, Monroeville, AL 36460-3044 Ph: (800) 204-0099 |
Mr. Ashley Ryan Mcphaul, CRNA MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2016 S Alabama Ave, Monroeville, AL 36460 Phone: 251-575-3111 |