Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LARAE HEAVENSTON, CRNA
ActiveJENNIFER LARAE HEAVENSTON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in STOCKTON, California. NPI 1700170388 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · STOCKTON, CA
Registration Details
- NPI Number
- 1700170388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2011 (15.172832656467 yrs)
- Last Updated
- Apr 17, 2025
- License
-
4011 (CA)
Practice Information
- Address
-
1805 N CALIFORNIA ST STE 101ASTOCKTON, CA, 952046032Browse CA providers · Browse ZIP 95204
- Phone
- 2099483241
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| TERESA LOUISE DONALDSON | CRNA | 1508816232 |
| MR. AKIRA TOYAMA | CRNA | 1184649790 |
| MARJORIE M DANIS | CRNA | 1164505046 |
| CARLA S ROSENBLUM | CRNA | 1376616151 |
| MR. PHORS YIN | CRNA | 1437201514 |
| MR. AUMNARD SAISEUBYAT | CRNA | 1083973499 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.