| Sandra J Jacobs, CRNA | |
|
1600 N Main Ave, Lovington, NM 88260-2830 | |
| (575) 396-6611 | |
| (575) 396-1454 |
| Full Name | Sandra J Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1600 N Main Ave, Lovington, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396718599 | NPI | - | NPPES |
| 2701JA | Other | WA | INDIVIDUAL BLUE SHIELD |
| 9612078 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30004485 (Washington) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA00524 (New Mexico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra J Jacobs, CRNA 7711 Ne 175th St, Apt A302, Kenmore, WA 98028-3567 Ph: (425) 274-5046 | Sandra J Jacobs, CRNA 1600 N Main Ave, Lovington, NM 88260-2830 Ph: (575) 396-6611 |
Shannon Michelle Allen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Donnie A. Croley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
James H Mcnair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-9059 Fax: 575-396-1454 | |
Miguel A Montero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Anibal Marquez-chavez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Mr. Terry Alvin Sumpter, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-0318 |